IndividualActive
Derek Dennis, CRNA
NPI 1477583649 · Certified Registered Nurse Anesthetist · Boise, ID
Provider details
- NPI number
- 1477583649
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- RNA503 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
2537 W State St
Boise, ID 83702-2200
Phone: (208) 336-0895
Fax: (208) 338-1796
Street-level locationGet directions
Mailing address
2537 W State St
Boise, ID 83702-2200
Additional practice locations (1)
- 111 W State StBoise, ID 83702-6127Phone: (208) 336-0895Fax: (208) 338-1796
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2018-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.