Derek Ahlstrom, PA
NPI 1174096606 · Physician Assistant · Boise, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Ahlstrom, PA is a Physician Assistant provider in Boise, ID (NPI 1174096606).
Provider details
- NPI number
- 1174096606
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA61522965 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
7 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
9 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$405 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (8)
- 6600 W Emerald StBoise, ID 83704-8738Phone: (208) 609-9020
- 9292 W Barnes DrBoise, ID 83709-1554Phone: (208) 795-3515
- 2335 E State AveMeridian, ID 83642-8808Phone: (208) 672-1801
- 847 Parkcentre Way Ste 7Nampa, ID 83651-1794Phone: (208) 229-6050
- 7416 212th St SwEdmonds, WA 98026-7602Phone: (425) 245-5800
- 2111 N Northgate Way Ste 100Seattle, WA 98133-9018Phone: (425) 502-9945
- 2111 N Northgate Way Ste 101Seattle, WA 98133-9018Phone: (206) 309-3740
- 924 S Pines Rd Ste 101Spokane Valley, WA 99206-5423Phone: (509) 299-8160
Registry dates
- Enumerated
- 2019-01-08
- Last updated
- 2024-03-28
- Certified
- 2024-03-28
Frequently asked questions
- What is Derek Ahlstrom's NPI number?
- Derek Ahlstrom's National Provider Identifier (NPI) is 1174096606, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Ahlstrom's specialty?
- Derek Ahlstrom is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Derek Ahlstrom located?
- Derek Ahlstrom's practice location on file with NPPES is 7941 W Rifleman St, Boise, ID 83704-9001.
- What is Derek Ahlstrom's phone number?
- The practice phone number listed in the NPPES registry for Derek Ahlstrom is (208) 895-7950.
- Does Derek Ahlstrom accept Medicare?
- Derek Ahlstrom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Ahlstrom's NPI active?
- Yes — Derek Ahlstrom's NPI (1174096606) is active in the NPPES registry as of the last update on 2024-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.