Individual provider Active NPI

Rachael Marie Knuteson, NP

  • Family Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1003409988
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
67084 Issued in ID
Practice address
1948 S Eagle Rd
Meridian, ID 83642-2452
Phone
(208) 322-7900
NPI assigned
Feb 11, 2021
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 67084 ID Primary

Addresses

Primary practice location

1948 S Eagle Rd
Meridian, ID 83642-2452

Mailing address

6472 E Dannsmore Dr
Nampa, ID 83687-4116
Phone (208) 296-0242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210611000245 ID Practitioner - Nurse Practitioner 6800296922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gary Gregerson MD PAGroup PAC ID 3173838141, 10 clinicians

Practice addresses (Care Compare)

4850 N Rosepoint Way
Suite 100
Boise, ID 83713-5262
Phone (208) 939-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
67084IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Gregerson, M.D., P.a. CurrentSince May 27, 2023 Accepting new patients
Gary Gregerson MD PA PastSince May 27, 2023 Accepting new patients

Locations

4850 N Rosepoint Way
Boise, ID 83713

4850 N Rosepoint Way
Ste 100
Boise, ID 83713
Phone (208) 393-2100

1611 12th Ave Rd
Ste A
Nampa, ID 83686
Phone (208) 468-9400

16111 N Brinson St
#110
Nampa, ID 83687
Phone (208) 468-9400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDIDCA/Endpoint/BDIDCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1003409988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6472 E DANNSMORE DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836874116",
            "telephone_number": "208-296-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422452",
            "telephone_number": "208-322-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTESON",
        "first_name": "RACHAEL",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "67084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.