NPI age
7 years
Enumerated 2019-01-08
● Active
Type 1 · Individual
Derek Scott Ahlstrom, PA
Ahlstrom is 1 of 363 physician assistant providers in Boise and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-03-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-01Enumerated in NPPES
2019
2026
Where they practice
Practice location
7941 W Rifleman St
Boise, ID 837049001
Mailing address
1650 S Topaz Way
Meridian, ID 836424474
Additional practice locations
8 secondary locations on file with NPPES.
Location 2
9292 W Barnes Dr
Boise, ID 837091554
Location 3
6600 W Emerald St
Boise, ID 837048738
Location 4
2335 E State Ave
Meridian, ID 836428808
Location 5
7416 212th St Sw
Edmonds, WA 980267602
Location 6
2111 N Northgate Way Ste 100
Seattle, WA 981339018
Location 7
924 S Pines Rd Ste 101
Spokane Valley, WA 992065423
Location 8
2111 N Northgate Way Ste 101
Seattle, WA 981339018
Location 9
847 Parkcentre Way Ste 7
Nampa, ID 836511794
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new physician assistant providers have been added in Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.