NPI age
17 years
Enumerated 2008-11-05
● Active Type 2 · Organization
Subpart
University Professional Services
University Professional Services is 1 of 145 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Vp/enterprise Revenue Cycle
Last NPPES update
2025-09-12
Source: monthly bulk 2026-05
How this organization compares
Across 145 active clinic/center providers in Idaho.
NPI age
17 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-11Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
3101 E State St Ste 2107
Eagle, ID 836166232
Mailing address
1400 Sw 5th Ave
Portland, OR 972015537
Authorized official
Kelly Anne Smith
Vp/enterprise Revenue Cycle
📞 5034944422
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
University Professional Services in Idaho
Practice context
Single-site organization. Only one practice location on file.
Subpart of University Professional Services.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.