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

Terry Black, CRNA

Individual provider Registered Nurse · NPI 1902843584

Terry Black, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Boise, Idaho. Qualified in 1993, 33 years ago. Practices with St Alphonsus Professional Medical Services LLC, a 123-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
33
Licensed in
ID
In the registry since
2006
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 83706-1352
Phone: (208) 367-6416
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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 RNA302 (ID)
Registered Nurse Taxonomy 163W00000X · Licence N22112 (ID)

Record details

NPI number1902843584
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESNovember 20, 2007
Mailing addressPo Box 4008, Portland, OR 97208-4008

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice St Alphonsus Professional Medical Services Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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