NPI age
13 years
Enumerated 2012-09-19
● Active
Type 1 · Individual
MR. Michael Robert Nieraeth, PA
Nieraeth is 1 of 36 physician assistant providers in Boise and 1 of 97 in Idaho.
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-03-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 97 active physician assistant providers in Idaho.
NPI age
13 years
≈ at median (13 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
56% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-09Enumerated in NPPES
2012
2026
Where they practice
Practice location
8854 W Emerald St Ste 102
Boise, ID 83704
Mailing address
8854 W Emerald St Ste 102
Boise, ID 837044845
Additional practice locations
1 secondary location on file with NPPES.
Location 2
320 Warner Dr
Lewiston, ID 835014441
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1487904280 |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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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.