Individual provider Active NPI

Steven Joseph Barnum, NP

  • Family Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1104026178
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
55135 Issued in ID
Practice address
2273 E Gala St Ste 100
Meridian, ID 83642-7289
Phone
(208) 898-8999
Fax
(208) 898-8992
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP 17044 CA
Occupational Health Nurse Practitioner 363LX0106X NP 17044 CA
Family Nurse Practitioner 363LF0000X 55135 ID Primary

Addresses

Primary practice location

2273 E Gala St Ste 100
Meridian, ID 83642-7289

Mailing address

2273 E Gala St Ste 100
Meridian, ID 83642-7289
Phone (208) 898-8999

Other practice location 1

1115 12th Ave Rd
Nampa, ID 83686-5738
Phone (208) 498-1080

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
I20171010003742 ID Practitioner - Nurse Practitioner 2769757103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Geffen School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 191050
Boise, ID 83719

Merit-based Incentive Payment System (MIPS)

Final score
84.87 of 100Reported as group
Quality
77.29
Promoting interoperability
97
Improvement activities
40
Cost
74.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP 17044CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Group, LLC Family Medicine Current Accepting new patients
Alliance Medical Group, LLC Family Medicine CurrentSince Sep 18, 2017 Accepting new patients
Epic Psychological Services, PLLC PastSince Nov 10, 2024 Accepting new patients
Alliance Medical Group, LLC Family Medicine Past Accepting new patients
Scott P. Hoopes, M.D., P.a. PastSince Nov 10, 2024 Accepting new patients

Locations

7350 W Victory Rd
Boise, ID 83709
Phone (208) 809-2888

4815 Cleveland Blvd
Caldwell, ID 83605
Phone (208) 455-3545

435 S Eagle Rd
Ste 100
Eagle, ID 83616
Phone (208) 609-9130

435 S Eagle Rd
Eagle, ID 83616
Phone (208) 939-8200

10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690

5601 W Chinden Blvd
Garden City, ID 83714
Phone (208) 809-2865

1623 S Wells Ave
Meridian, ID 83642
Phone (208) 489-1450

260 S Ten Mile Rd
Meridian, ID 83642
Phone (208) 809-2872

1115 12th Ave Rd
Nampa, ID 83686
Phone (208) 498-1080

Interoperability endpoints

  • Direct secure messaging: livewellpsychiatry.stevenbarnum@157609.advancedmd-direct.com
  • Direct secure messaging: steven.barnum@phmg.eclinicaldirectplus.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1104026178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 E GALA ST STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427289",
            "telephone_number": "208-898-8999",
            "fax_number": "208-898-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 E GALA ST STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427289",
            "telephone_number": "208-898-8999",
            "fax_number": "208-898-8992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 12th Ave Rd",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836865738",
            "country_code": "US",
            "telephone_number": "208-498-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNUM",
        "first_name": "STEVEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 17044",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "CA",
            "license": "NP 17044",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "55135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.