NPI age
2 years
Enumerated 2024-01-29
● Active Type 2 · Organization
Evernorth Care Providers - Arizona Pc
Evernorth Care Providers - Arizona Pc is 1 of 75 general practice organizations in Idaho.
Primary specialty
General Practice
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blue
Credentialing SR. Manager
Last NPPES update
2024-01-29
Source: monthly bulk 2026-05
How this organization compares
Across 75 active general practice providers in Idaho.
NPI age
2 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-01Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
950 W Bannock St Ste 1100
Boise, ID 837026140
Mailing address
730 Cool Springs Blvd Ste 500
Franklin, TN 370677331
Authorized official
Grace Blue
Credentialing SR. Manager
📞 7732924800
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Amanda Jenson, LPC Counselor NPI 1710301056
- Alex Wills, M.D. Psychiatry & Neurology NPI 1649597055
- Breanna Zold, MAC Counselor NPI 1225877384
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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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.