P Praxis·MD
● Active Type 2 · Organization Subpart

Saint Alphonsus Regional Medical Center Inc

Nurse Practitioner·Boise, ID· NPI 1083815294 · Enumerated 2007 · 18 years on NPI
Saint Alphonsus Regional Medical Center Inc is 1 of 658 nurse practitioner organizations in Idaho.
NPI age
18 years
Enumerated 2007-05-29
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Checketts
Cfo & Board Member
Last NPPES update
2025-06-16
Source: monthly bulk 2026-05

How this organization compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
18 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1055 N Curtis Rd
Boise, ID 83706
📞 2083674148fax 2083229560
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2083674148fax 2083229560

Authorized official

Brian Lannie Checketts
Cfo & Board Member
📞 2083677347

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    ID license #M2 taxonomy 363L00000X

Identifiers

TypeValueNotes
05 (ID) 002267500

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • SAINT ALPHONSUS MEDICAL GROUP
    Type code 3 recorded 2021-04-22
  • NURSE PRACTIONER
    Type code 5 recorded 2021-04-22

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

Subpart of St. Alphonsus Regional Medical Center Inc.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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