Active NPI
Ciera Lund
- Physician Assistant
- Nampa, ID
National Provider Identifier
1134798077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5361775
- Practice address
- 9850 W St Lukes Dr
Nampa, ID 83687-7912 - Phone
- (208) 205-7282
- Fax
- (208) 205-7591
- NPI assigned
- Jun 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5361775 | ID | Primary |
Addresses
Primary practice location
9850 W St Lukes Dr
Nampa, ID 83687-7912
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice location 1
695 W Sagebrush Dr
Louisville, CO 80027-1063
Phone (303) 579-2656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.87 of 100
- Quality
- 95.04
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5361775 | ID | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1134798077",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 W ST LUKES DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836877912",
"telephone_number": "208-205-7282",
"fax_number": "208-205-7591"
}
],
"practiceLocations": [
{
"address_1": "695 W Sagebrush Dr",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "CO",
"postal_code": "800271063",
"country_code": "US",
"telephone_number": "303-579-2656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUND",
"first_name": "CIERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-24",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "5361775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.