Individual provider Active NPI

Thor Hauff, FNP-C

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1336378124
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1160A Issued in ID
Practice address
4971 W Overland Rd
Boise, ID 83705-2822
Phone
(208) 472-5050
Fax
(208) 472-5051
NPI assigned
Jul 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1160A ID Primary
Family Nurse Practitioner 363LF0000X N-26795 ID

Addresses

Primary practice location

4971 W Overland Rd
Boise, ID 83705-2822

Mailing address

PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, 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
I20201215000716 TX Practitioner - Nurse Practitioner 4183806664 Reassigns benefits to 1 organization
I20230418002040 ID Practitioner - Nurse Practitioner 4183806664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Medical Group LLCGroup PAC ID 3971544685, 132 clinicians

Practice addresses (Care Compare)

4971 W Overland Rd
Boise, ID 83705-2822
Phone (208) 472-5050

Merit-based Incentive Payment System (MIPS)

Final score
84.87 of 100Reported as group
Quality
77.29
Promoting interoperability
97
Improvement activities
40
Cost
74.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1160AIDMDFamily Nurse Practitioner
N-26795IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Group, LLC CurrentSince Aug 19, 2024 Accepting new patients
Ely Shoshone Tribe CurrentSince Nov 9, 2020 Accepting new patients
Alliance Medical Group, LLC CurrentSince Aug 19, 2024 Accepting new patients
Ely Shoshone Tribe PastSince Nov 9, 2020 Accepting new patients
Alliance Medical Group, LLC Past Accepting new patients

Locations

4971 W Overland Rd
Boise, ID 83705
Phone (208) 472-5050

10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690

400 B Newe Vw
Ely, NV 89301
Phone (775) 289-2134

505 S Pioche Hwy
Ely, NV 89301

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1336378124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191050",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837191050",
            "telephone_number": "208-955-6500",
            "fax_number": "208-955-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4971 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052822",
            "telephone_number": "208-472-5050",
            "fax_number": "208-472-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUFF",
        "first_name": "THOR",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "1160A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "N-26795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.