Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Carl Ryan Andrus, P.A.
Physician Assistant in Boise, ID · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1215949532
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Registry record
Entity type Individual (Type 1)
Name Carl Ryan Andrus
Credential P.A.
Sex Male
Practice address 4902 W State St, Boise, ID, 83703
Phone (208) 853-3100
Fax (208) 853-3120
Enumeration date Aug 13, 2006
Last updated in NPPES Jul 8, 2007
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA-508 (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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010157032 | Other | ID | BLUE CROSS |
| 807520000 | Medicaid | ID | - |
| PAD25 | Other | ID | BLUE CROSS |
| 000010157033 | Other | ID | BLUE SHIELD |
| PAD26 | Other | ID | BLUE CROSS |
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
How do I verify Carl Andrus's NPI record?
Cross-check NPI 1215949532 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1215949532 active?
Yes, as of the latest NPPES snapshot, NPI 1215949532 is active (record last updated 2007-07-08).
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.