NPI age
19 years
Enumerated 2006-07-04
● Active
Type 1 · Individual
William Mark Imus JR., FNP
Imus is 1 of 4 nurse practitioner providers in Grangeville and 1 of 658 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 658 active nurse practitioner providers in Idaho.
NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
610 Nw 2nd St
Grangeville, ID 835301244
Mailing address
610 Nw 2nd St
Grangeville, ID 835301244
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 804251600 | |
| 01 (ID) | NPWD6 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010152061 | REGENCE BLUE SHIELD |
Practice context
Part of a multi-provider practice. 1 other active provider shares 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.