Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Crystal Leigh Rose, FNP-C

Individual provider Family Nurse Practitioner · NPI 1023821196

Crystal Leigh Rose, FNP-C is a Nurse Practitioner in Boise, Idaho. Qualified in 2024, 2 years ago. Practices with Idaho Gastroenterology Associates LLP, a 33-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

425 W Bannock St
Boise, ID 83702-6035
Phone: (208) 901-6094
Fax: (208) 343-5301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2671947 (ID)

Record details

NPI number1023821196
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Idaho Gastroenterology Associates Llp — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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