Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John P Goeddertz, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1659424125

John P Goeddertz, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Boise, Idaho. Qualified in 2000, 26 years ago. Practices with Anesthesiology Consultants of Treasure Valley PLLC, a 27-clinician group and accepts Medicare assignment. Licensed in Idaho and North Dakota.

Years since qualifying
26
Licensed in
ID, ND
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-2163
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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 RNA-694 (ID)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence R26650 (ND)

Record details

NPI number1659424125
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESOctober 9, 2023
Certification dateOctober 9, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Anesthesiology Consultants Of Treasure Valley Pllc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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