Active NPI
Mary Hannah Rankin, FNP
- Family Nurse Practitioner
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 70369
- Practice address
- 1672 S Woodsage Ave Ste 120
Meridian, ID 83642-8332 - Phone
- (208) 515-2273
- NPI assigned
- Jan 11, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 70369 | ID | |
| Family Nurse Practitioner | 363LF0000X | 70369 | ID | Primary |
Addresses
Primary practice location
1672 S Woodsage Ave Ste 120
Meridian, ID 83642-8332
Mailing address
10850 W Florence Dr Unit 104
Boise, ID 83713-8054
Phone (740) 646-6809
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220309002415 | ID | Practitioner - Nurse Practitioner | 0941695969 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Meridian Advanced Psychiatry , LLC
Practice addresses (Care Compare)
1672 S Woodsage Ave
Suite 120
Meridian, ID 83642-7670
Phone (208) 515-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70369 | ID | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho State University | Current | Accepting new patients | |
| Idaho State University | Current | Accepting new patients | |
| Meridian Advanced Psychiatry , LLC | Current | Accepting new patients | |
| Idaho State University | Current | Accepting new patients |
Locations
1672 S Woodsage Ave
Ste 120
Meridian, ID 83642
Phone (208) 515-2273
4783 N Summit Way
#100
Meridian, ID 83646
1311 E Central Dr
Meridian, ID 83642
Phone (208) 373-1734
Interoperability endpoints
- mary.rankin@maph.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Meridan, ID
- NPI 1609412683
ID
-
- Community/Retail Pharmacy
- McCammon, ID
- NPI 1083393284
-
- Nutrition Education Nutritionist
- Meridian, ID
- NPI 1487245122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1154072205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10850 W FLORENCE DR UNIT 104",
"city": "BOISE",
"state": "ID",
"postal_code": "837138054",
"telephone_number": "740-646-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1672 S WOODSAGE AVE STE 120",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428332",
"telephone_number": "208-515-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANKIN",
"first_name": "MARY",
"middle_name": "HANNAH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "70369",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "70369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.