NPI age
19 years
Enumerated 2007-03-15
● Active Type 2 · Organization
Boise Valley Asthma & Allergy PA
Boise Valley Asthma & Allergy PA is 1 of 10 allergy & immunology organizations in Idaho.
Primary specialty
Allergy & Immunology
Practice locations
4
3 secondary on file
Status
Active
No deactivations on record
Authorized official
Waugh
Insurance/credentialing Admin
Last NPPES update
2026-05-08
Source: monthly bulk 2026-05
How this organization compares
Across 10 active allergy & immunology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
4
3 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
901 N Curtis Rd Ste 100
Boise, ID 837061339
Mailing address
901 N Curtis Rd, Suite 100
Boise, ID 837061394
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
4424 E Flamingo Ave Ste 340
Nampa, ID 836879291
Location 3
323 E Riverside Dr Ste 204
Eagle, ID 836166865
Location 4
2320 E Gala St Ste 500
Meridian, ID 836424875
Authorized official
Maryann Waugh
Insurance/credentialing Admin
📞 2083780080
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Melissa Kroon, PA Physician Assistant NPI 1962892240
- Devon Moser Nurse Practitioner NPI 1063912202
- Sean Stout, MD Allergy & Immunology NPI 1417488131
Specialties
-
Allergy & Immunology PrimaryAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1374345 | MEDICARE PTAN |
| 05 (ID) | 1215061734 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Boise Valley Asthma And Allergy Clinic
-
Boise Valley Asthma And Allergy Clinic
Practice context
Multi-provider organization. 3 individual providers on file at this primary address. Plus 3 secondary practice locations.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.