NPI age
19 years
Enumerated 2006-06-07
● Active
Type 1 · Individual
Stuart Black, M.D.
Black is 1 of 131 family medicine providers in Nampa and 1 of 1691 in Idaho.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
ID, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-05-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1691 active family medicine providers in Idaho.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
223 16th Ave N
Nampa, ID 836874058
Mailing address
Po Box 9
Nampa, ID 836530009
Additional practice locations
1 secondary location on file with NPPES.
Location 2
215 E Hawaii Ave Ste 200
Nampa, ID 836866011
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 11000133 | MEDICARE PTAN |
| 01 (ID) | 11000131 | MEDICARE PTAN |
| 01 (ID) | P00777176 | MEDICARE RAILROAD PTAN |
| 05 (ID) | 1053351361 | |
| 01 (ID) | 11000132 | MEDICARE PTAN |
| 01 (ID) | M9850 | IDAHO LICENSE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.
Recently enumerated nearby: 6 new family medicine providers have been added in Nampa in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.