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Celeste Renee Christesen

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

190 E Bannock St Fl 10, Boise, ID 83712-6241

PECOS Enrollment

This provider is enrolled in PECOS as CELESTE CHRISTESEN.

Based on the most recent information from CMS, provider Celeste Renee Christesen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1679206312
Provider Type
Individual
Full Name
Christesen, Celeste Renee
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/8/2022
Last Updated
2/24/2025

Contact Information

Practice Location

190 E Bannock St Fl 10, Boise, ID 83712-6241

(208) 381-5500

(208) 381-2555

Mailing Location

190 E Bannock St, Boise, ID 83712-6241

(208) 381-8752

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 8761579 Idaho
Code 376K00000X	Description Nurse's Aide Nursing Service Related Providers	License ID000033431E Idaho
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Celeste Renee Christesen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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