P Praxis·MD
● Active Type 1 · Individual

Andrea Kruse, CSA

Specialist/Technologist, Other·Boise, ID· NPI 1720861503 · Enumerated 2023 · 2 years on NPI
Kruse is 1 of 20 specialist/technologist, other providers in Boise and 1 of 52 in Idaho.
NPI age
2 years
Enumerated 2023-08-16
Primary specialty
Specialist/Technologist, Other
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-08-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 52 active specialist/technologist, other providers in Idaho.

NPI age
2 years
≈ at median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-08Enumerated in NPPES
2023 2026

Where they practice

Practice location
190 E. Banock St.
Boise, ID 83712
📞 2083812222
Mailing address
11358 W Tioga St
Boise, ID 837093347
📞 2088900848

Specialties

  • Specialist/Technologist, Other Primary
    A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
    ID license #5421 taxonomy 246ZC0007X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 4 new specialist/technologist, other providers have been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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