Individual provider Active NPI

Patricia M Buersmeyer, M.D.

  • Internal Medicine Physician
  • Meridian, ID
National Provider Identifier
1104816198
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M8501 Issued in ID
Practice address
520 S Eagle Rd Ste 3102
Meridian, ID 83642-6352
Phone
(208) 706-5100
Fax
(208) 706-5169
NPI assigned
Oct 21, 2005
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M8501 ID Primary

Addresses

Primary practice location

520 S Eagle Rd Ste 3102
Meridian, ID 83642-6352

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8752

Other practice location 1

215 E Hawaii Ave
Nampa, ID 83686-6011
Phone (208) 468-5920

Other practice location 2

9850 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 468-5920

Other identifiers 5

IdentifierTypeStateIssuer
806314500MedicaidID
48025OtherIDBLUE CROSS
000010138343OtherIDBLUE SHIELD
110238082OtherIDRAILROAD MEDICARE
806395800OtherHEALTHY CONNECTIONS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patricia.buersmeyer@sal.eclinicaldirectplus.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000897 ID Practitioner - Internal Medicine 5890877476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

520 S Eagle Rd
Meridian, ID 83642-6352

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M8501IDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Internal Medicine CurrentSince May 10, 2024 Accepting new patients
Saltzer Medical Group, PA Internal Medicine Current Accepting new patients
St Lukes Clinic-Treasure Valley LLC Internal Medicine CurrentSince May 10, 2024 Accepting new patients
Southern Idaho Health Partners LLC CurrentSince Apr 1, 2015 Accepting new patients
Interpath Laboratory, Inc. PastSince Apr 1, 2015 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1520 W State St
Ste 100
Boise, ID 83702
Phone (208) 947-7700

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

3277 E Louise Dr
Meridian, ID 83642
Phone (208) 385-3525

520 S Eagle Rd
Ste 2116
Meridian, ID 83642
Phone (208) 884-2999

520 S Eagle Rd
Ste 3102
Meridian, ID 83642
Phone (208) 331-1155

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

217 W Georgia Ave
Ste 115
Nampa, ID 83686
Phone (208) 463-3234

4403 E Flamingo Ave
Nampa, ID 83687
Phone (208) 288-4960

9850 W St Lukes Dr
Nampa, ID 83687
Phone (208) 205-7282

9850 W St Lukes Dr
Ste 129
Nampa, ID 83687
Phone (208) 205-7600

Interoperability endpoints

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

Organizations & group practices 6

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 4

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1104816198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD STE 3102",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426352",
            "telephone_number": "208-706-5100",
            "fax_number": "208-706-5169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 E Hawaii Ave",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836866011",
            "country_code": "US",
            "telephone_number": "208-468-5920",
            "fax_number": "208-463-3044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9850 W St Lukes Dr",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836877912",
            "country_code": "US",
            "telephone_number": "208-468-5920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUERSMEYER",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M8501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806314500",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "48025",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010138343",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110238082",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY CONNECTIONS",
            "identifier": "806395800",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.buersmeyer@sal.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9850 W St Lukes Dr",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836877912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.