NPIMap

Individual provider Active NPI

Sarai Graves

  • Physician Assistant
  • Boise, ID
National Provider Identifier
1245899269
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00511 Issued in MS
Practice address
222 N 2ND St Ste 311
Boise, ID 83702-6131
Phone
(208) 344-6080
Fax
(208) 344-6079
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TL3256 SC
Physician Assistant 363A00000X PA2624 ID
Physician Assistant 363A00000X PA00511 MS Primary

Addresses

Primary practice location

222 N 2ND St Ste 311
Boise, ID 83702-6131

Mailing address

2136 S Coloma Way
Boise, ID 83712-8507
Phone (661) 863-8281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314000615 ID Practitioner - Physician Assistant 5496188542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Erik S Jones DO PLLCGroup PAC ID 4183691058, 3 clinicians

Practice addresses (Care Compare)

222 N 2ND St
Suite 202
Boise, ID 83702-6130
Phone (208) 917-7260

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2624IDMDPhysician Assistant
PA00511MSMDPhysician Assistant
TL3256SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela Fields Nurse Practitioner PA Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1245899269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 S COLOMA WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837128507",
            "telephone_number": "661-863-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST STE 311",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026131",
            "telephone_number": "208-344-6080",
            "fax_number": "208-344-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "SARAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "TL3256",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA2624",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.