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

MS. Erin Fennern

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295175008

MS. Erin Fennern is a Colorectal Surgery (Proctology) in Boise, Idaho. Qualified in 2015, 11 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
11
Licensed in
ID
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

100 E Idaho St Ste 316
Boise, ID 83712-6269
Phone: (208) 381-9350
Fax: (208) 381-9351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-8220

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence M-17325 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295175008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2013
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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