Individual provider Active NPI

Sara Patterson, DNP

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1285057976
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-1405A Issued in ID
Practice address
12273 W McMillan Rd
Boise, ID 83713-0555
Phone
(208) 302-5500
Fax
(208) 302-5555
NPI assigned
Jan 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-1405A ID Primary

Addresses

Primary practice location

12273 W McMillan Rd
Boise, ID 83713-0555

Mailing address

3340 E Goldstone Dr
Meridian, ID 83642-1026
Phone (208) 367-5170

Other practice location 1

11035 W. Karcher Road
Nampa, ID 83651
Phone (208) 302-6600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140627000062 ID Practitioner - Nurse Practitioner 0840415261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12273 W McMillan Rd
Boise, ID 83713-0555
Phone (208) 302-5500

3025 W Cherry LN
Meridian, ID 83642-8531

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-1405AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jun 2, 2014 Accepting new patients
Women'S Health Associates, PLLC CurrentSince Aug 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jun 2, 2014 Accepting new patients

Locations

12273 W McMillan Rd
Boise, ID 83713
Phone (208) 302-5500

333 N 1st St
Ste 240
Boise, ID 83702
Phone (208) 338-8900

910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3090 E Gentry Way
Ste 210
Meridian, ID 83642
Phone (208) 338-8900

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

3080 E Gentry Way
Ste 200
Meridian, ID 83642
Phone (208) 338-8900

11035 W Karcher Rd
Nampa, ID 83651
Phone (208) 302-6600

214 S Midland Blvd
Nampa, ID 83686
Phone (208) 465-6900

Interoperability endpoints

  • Direct secure messaging: spatterson85172@direct.trinity-health.org

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.

Hospital & facility affiliations 6

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": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1285057976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12273 W MCMILLAN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130555",
            "telephone_number": "208-302-5500",
            "fax_number": "208-302-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11035 W. KARCHER ROAD",
            "address_purpose": "LOCATION",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83651",
            "country_code": "US",
            "telephone_number": "208-302-6600",
            "fax_number": "208-302-6955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "SARA",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-30",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1405A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.