Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffery Carl Richardson, CRNA-DNP

Individual provider Registered Nurse · NPI 1932774312

Jeffery Carl Richardson, CRNA-DNP is a Certified Registered Nurse Anesthetist (CRNA) in Boise, Idaho. Qualified in 2021, 5 years ago. Practices with Tree City Anesthesia Associates PA, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho and Wisconsin.

Years since qualifying
5
Licensed in
ID, WI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (801) 231-9869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 68470 (ID)
Registered Nurse Taxonomy 163W00000X · Licence 241081-30 (WI)

Record details

NPI number1932774312
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA-DNP
Sole proprietorYes
NPI enumeratedMay 26, 2021
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Tree City Anesthesia Associates Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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