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

Katina Ross, AGNP-C

Individual provider Nurse Practitioner · NPI 1588288336

Katina Ross, AGNP-C is a Nurse Practitioner in Boise, Idaho. Qualified in 2019, 7 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5966 W Curtisian Ave
Boise, ID 83704-8801
Phone: (208) 302-5400
Fax: (208) 302-5455
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11695 W Baserri Dr, Boise, ID 83709-1307 — (541) 654-3437

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 64650 (ID)

Record details

NPI number1588288336
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedJune 7, 2020
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boise