Active NPI
Alexandria W. Mwanga, DNP, FNP-C
- Nurse Practitioner
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 69372
- Practice address
- 2321 E Gala St Ste 3
Meridian, ID 83642-7692 - Phone
- (208) 888-5848
- Fax
- (208) 888-0884
- NPI assigned
- Aug 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | 69372 | ID | |
| Family Medicine Physician | 207Q00000X | 69372 | ID | |
| General Practice Physician | 208D00000X | 69372 | ID | |
| Hospitalist Physician | 208M00000X | 69372 | ID | |
| Nurse Practitioner | 363L00000X | 69372 | ID | Primary |
Addresses
Primary practice location
2321 E Gala St Ste 3
Meridian, ID 83642-7692
Mailing address
1965 S Eagle Rd Ste 180
Meridian, ID 83642-9246
Phone (986) 666-3866
Other practice location 1
1965 S Eagle Rd Ste 180
Meridian, ID 83642-9246
Phone (986) 666-3866
Other practice location 2
303 N Allumbaugh St Ste 335
Boise, ID 83704-9208
Phone (208) 888-5848
Other names 1
- Andy Mwanga
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, UT, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2321 E Gala St
Suite 3
Meridian, ID 83642-7692
Phone (208) 888-5848
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- Saint Alphonsus Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69372 | ID | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Healthcare LLC | Health & Wellness Coach | Current | Accepting new patients |
| Signify Health, LLC | Multi-Specialty | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Multi-Specialty | Current | Accepting new patients |
| Midvalley Healthcare PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
303 N Allumbaugh St
Ste 335
Boise, ID 83704
Phone (208) 888-5848
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
2321 E Gala St
Ste 3
Meridian, ID 83642
Phone (208) 288-2280
1965 S Eagle Rd
Ste 180
Meridian, ID 83642
Phone (208) 288-0649
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHHGDD/Endpoint/HHHGDD
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Meridian, ID
- NPI 1346573532
Multi-Specialty
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Multi-Specialty, WA
-
- Family Medicine Physician
- Meridian, ID
- NPI 1063143659
Health & Wellness Coach
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1336815562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 S EAGLE RD STE 180",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429246",
"telephone_number": "986-666-3866",
"fax_number": "986-666-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 E GALA ST STE 3",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427692",
"telephone_number": "208-888-5848",
"fax_number": "208-888-0884"
}
],
"practiceLocations": [
{
"address_1": "1965 S Eagle Rd Ste 180",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836429246",
"country_code": "US",
"telephone_number": "986-666-3866",
"fax_number": "986-666-3038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 N Allumbaugh St Ste 335",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837049208",
"country_code": "US",
"telephone_number": "208-888-5848",
"fax_number": "208-888-0884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MWANGA",
"first_name": "ALEXANDRIA",
"middle_name": "W.",
"name_prefix": "Mr.",
"credential": "DNP, FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-18",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": "ID",
"license": "69372",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "ID",
"license": "69372",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "ID",
"license": "69372",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ID",
"license": "69372",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "69372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDY",
"last_name": "MWANGA",
"credential": "DNP, FNP-C",
"code": "5",
"type": "Other Name"
}
]
}
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 May 27, 2025; 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.