NPIMap

Organization Active NPI

Saint Alphonsus Regional Medical Center Inc

Doing business as Saint Alphonsus Medical Group

  • Nurse Practitioner
  • Boise, ID
National Provider Identifier
1083815294
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
M2 Issued in ID
Legal business name
SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
Doing business as
Saint Alphonsus Medical Group
Practice address
1055 N Curtis Rd
Boise, ID 83706
Phone
(208) 367-4148
Fax
(208) 322-9560
NPI assigned
May 29, 2007
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. ALPHONSUS REGIONAL MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Marcie Harper
Title
Cfo & Board Member
Phone
(208) 367-7192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X M2 ID Primary

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-4148

Other identifiers 1

IdentifierTypeStateIssuer
002267500MedicaidID

Other names 2

  • SAINT ALPHONSUS MEDICAL GROUP Doing business as
  • NURSE PRACTIONER Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2138791St Alphonsus Medical Group1055 N Curtis Rd, Boise, ID 83706Certificate of waiverOct 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Alphonsus Regional Med25 organizations share this tax ID, including this one
Part of
St Alphonsus Regional Med

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1083815294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-4148",
            "fax_number": "208-322-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-367-4148",
            "fax_number": "208-322-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. ALPHONSUS REGIONAL MEDICAL CENTER INC",
        "enumeration_date": "2007-05-29",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_title_or_position": "CFO & BOARD MEMBER",
        "authorized_official_telephone_number": "208-367-7192"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "M2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002267500",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SAINT ALPHONSUS MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NURSE PRACTIONER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.