NPPES file of Aug 9, 2026

Derek Scott Ahlstrom, PA

Physician Assistant · Boise, ID

Derek Scott Ahlstrom, PA is a physician assistant with a practice address in Boise, Idaho, and NPI 1174096606, issued on Jan 8, 2019. Check the license (Idaho PA-1715, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1174096606
Name
Derek Scott Ahlstrom
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License numbers
PA-1715 ID
PA61522965 WA
Self-reported in NPPES; status is on the state search
Practice location
7941 W Rifleman St, Boise, ID 83704
Phone
(208) 895-7950
Enumerated
Jan 8, 2019
Record last updated
Mar 28, 2024
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 7941 W Rifleman St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Thomas Childers-Scott, LMSWClinical Social Worker1578050076
  2. Keith Deugan, CADCAddiction (Substance Use Disorder) Counselor1942853197
  3. Robert Dunfee, CADC 11922Addiction (Substance Use Disorder) Counselor1225699523
  4. Gaylee Hoff, LCSWClinical Social Worker1164923603
  5. Danel Jones, LMSWSocial Worker1992372130
  6. Jennifer Radilla Quijas, LMSWClinical Social Worker1124675822

Verify Derek Scott Ahlstrom in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license PA-1715
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Industry payments in 2024: $405.39

7 payments; by number, the most common kind was food and beverage; the largest payer was Alkermes, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Derek Ahlstrom$405.39
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Derek Scott Ahlstrom among 1,250 physician assistant records in Idaho

Derek Scott Ahlstrom, PA is one of 1,250 physician assistant records with a practice address in Idaho. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 62% of them.

  • NPI issued2019 · 62% of these records are older, 33% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileNo · 77% of these records are
  • Record last updated2024 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

362 physician assistant records list a practice address in Boise

They are 362 of the 9,467 NPPES records with a practice address in Boise, and 1,250 physician assistant records in Idaho.

The 8 physician assistant records with the nearest ZIP codes

  1. Alex Casebolt, PABoise, ID 837041346283363
  2. Thomas Douthit, PA-CBoise, ID 837041023008414
  3. Chadwick Fisher, PABoise, ID 837041497744338
  4. Jeffrey Flaker, PABoise, ID 837041295780062
  5. Bryan Hart, PABoise, ID 837041518977826
  6. Rachel King, PABoise, ID 837041205826245
  7. Helen Lawler, PABoise, ID 837041336184803
  8. Dale McGar, PA-CBoise, ID 837041457328478

Common questions

What is Derek Scott Ahlstrom, PA's NPI number?

Derek Scott Ahlstrom, PA's National Provider Identifier (NPI) is 1174096606, issued on Jan 8, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Derek Scott Ahlstrom, PA located?

The NPPES record lists a practice address at 7941 W Rifleman St, Boise, ID, 83704. Phone: (208) 895-7950. Providers update this record themselves, so call before visiting.

How can I verify Derek Scott Ahlstrom, PA's license?

NPPES lists Idaho license number PA-1715, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.