Individual provider Active NPI

Leeanne Janae Mehling, C-NP

  • Pediatric Nurse Practitioner
  • Nampa, ID
National Provider Identifier
1245984004
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
70549 Issued in ID
Practice address
215 E Hawaii Ave Ste 140
Nampa, ID 83686-6011
Phone
(208) 514-2502
Fax
(208) 375-2217
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 70549 ID Primary

Addresses

Primary practice location

215 E Hawaii Ave Ste 140
Nampa, ID 83686-6011

Mailing address

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Other practice location 1

85 S Middleton Rd
Nampa, ID 83651
Phone (208) 505-2800

Other practice location 2

1219 SW 4th Ave Unit 1
Ontario, OR 97914-4500
Phone (541) 889-2668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220607002031 OR Practitioner - Nurse Practitioner 7517345390 Reassigns benefits to 1 organization
I20230831001547 ID Practitioner - Nurse Practitioner 7517345390 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70549IDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Family Health Care Inc CurrentSince May 23, 2022 Accepting new patients
Valley Family Health Care, Inc CurrentSince May 23, 2022 Accepting new patients
Valley Family Health Care, Inc Current Accepting new patients
St Lukes Clinic-Treasure Valley LLC Pediatrics CurrentSince Aug 16, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Pediatrics CurrentSince Aug 16, 2023 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

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

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

701 E Parkcenter Blvd
Boise, ID 83706
Phone (208) 381-6400

85 S Middleton Rd
Nampa, ID 83651
Phone (208) 381-4100

1441 NE 10th Ave
Payette, ID 83661
Phone (208) 642-9376

17 S 3rd St
Nyssa, OR 97913
Phone (541) 372-5738

896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038

1219 SW 4th Ave
Unit 1
Ontario, OR 97914
Phone (541) 216-6068

789 Washington St W
Vale, OR 97918
Phone (503) 473-2101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1245984004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049251",
            "telephone_number": "208-514-2500",
            "fax_number": "208-375-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E HAWAII AVE STE 140",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866011",
            "telephone_number": "208-514-2502",
            "fax_number": "208-375-2217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 S Middleton Rd",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "83651",
            "country_code": "US",
            "telephone_number": "208-505-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1219 SW 4th Ave Unit 1",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OR",
            "postal_code": "979144500",
            "country_code": "US",
            "telephone_number": "541-889-2668",
            "fax_number": "541-889-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHLING",
        "first_name": "LEEANNE",
        "middle_name": "JANAE",
        "name_prefix": "Mrs.",
        "credential": "C-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ID",
            "license": "70549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.