NPI age
8 years
Enumerated 2017-09-05
● Active
Type 1 · Individual
Mark Aaron Phelan, RN
Phelan is 1 of 146 registered nurse providers in Boise and 1 of 354 in Idaho.
Primary specialty
Registered Nurse
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 354 active registered nurse providers in Idaho.
NPI age
8 years
↑ 5 yr above median (3 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-09Enumerated in NPPES
2017
2026
Where they practice
Practice location
779 S. Tennyson Way
Boise, ID 83709
Mailing address
779 S Tennyson Way
Boise, ID 837097738
Specialties
-
Registered Nurse Primary(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | M8070381 | |
| 05 (ID) | M8071148 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 10 new registered nurse providers have been added in Boise in the last 180 days.
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- 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.