Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Derek Scott Ahlstrom, PA
Physician Assistant in Boise, ID · enumerated 2019.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1174096606
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Registry record
Entity type Individual (Type 1)
Name Derek Scott Ahlstrom
Credential PA
Sex Male
Practice address 7941 W Rifleman St, Boise, ID, 83704
Phone (208) 895-7950
Enumeration date Jan 8, 2019
Last updated in NPPES Mar 28, 2024
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA61522965 (WA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA-1715 (ID) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Derek Ahlstrom?
The National Provider Identifier (NPI) for Derek Ahlstrom is 1174096606, a Type 1 (individual) record in the CMS NPPES registry.
Where does Derek Ahlstrom practice?
The practice location on file with NPPES is in Boise, ID. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Todd Salzsieder Physician Assistant · Boise, ID NPI 1962875724 Gaylee Hoff Clinical Social Worker · Boise, ID NPI 1164923603 Erika Scarberry Addiction (Substance Use Disorder) Counselor · Boise, ID NPI 1366939027 Thomas Childers-Scott Clinical Social Worker · Boise, ID NPI 1578050076 Ashwood Recovery LLC Substance Use Disorder Rehabilitation Clinic/Center · Boise, ID NPI 1801452677 Robert Dunfee Addiction (Substance Use Disorder) Counselor · Boise, ID NPI 1225699523 Keith Deugan Addiction (Substance Use Disorder) Counselor · Boise, ID NPI 1942853197 Jennifer Radilla Quijas Clinical Social Worker · Boise, ID NPI 1124675822
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-28.