Individual provider Active NPI

Gregory Leon Wood, FNP

  • Nurse Practitioner
  • Nampa, ID
National Provider Identifier
1336944099
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3771032 Issued in ID
Practice address
215 E Hawaii Ave # 140
Nampa, ID 83686-6011
Phone
(208) 514-2529
Fax
(208) 375-2217
NPI assigned
Feb 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3771032 ID Primary

Addresses

Primary practice location

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

Mailing address

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

Other practice location 1

9850 W St Lukes Dr # 329
Nampa, ID 83687-7912
Phone (208) 514-2509

Other practice location 2

315 E Elm St # 201
Caldwell, ID 83605-4857
Phone (208) 514-2528

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
I20250512000492 ID Practitioner - Nurse Practitioner 2365969540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Health IncGroup PAC ID 6709986797, 106 clinicians

Practice addresses (Care Compare)

315 E Elm St
Suite 201
Caldwell, ID 83605-4857
Phone (208) 514-2528

Hospital & facility affiliations

  • Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013
  • St Luke'S Nampa Medical Center Hospital, Nampa, ID, CCN 130071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3771032IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Health, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Full Circle Health, Inc. PastSince Jun 30, 2024 Accepting new patients
Full Circle Health, Inc. PastSince Feb 1, 2022 Accepting new patients

Locations

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

315 E Elm St
Ste 201
Caldwell, ID 83605
Phone (208) 514-2528

315 E Elm St
#201
Caldwell, ID 83605
Phone (208) 514-2528

9850 W St Lukes Dr
#329
Nampa, ID 83687
Phone (208) 514-2509

215 E Hawaii Ave
#140
Nampa, ID 83686
Phone (208) 514-2502

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

215 E Hawaii Ave
Ste 140
Nampa, ID 83686
Phone (208) 514-2529

9850 W St Lukes Dr
Ste 329
Nampa, ID 83687
Phone (208) 331-1155

Interoperability endpoints

  • Direct secure messaging: gwood779197@direct.ochin.org

Organizations & group practices 3

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 2

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": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1336944099",
    "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 # 140",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866011",
            "telephone_number": "208-514-2529",
            "fax_number": "208-375-2217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 W St Lukes Dr # 329",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836877912",
            "country_code": "US",
            "telephone_number": "208-514-2509",
            "fax_number": "208-375-2217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 E Elm St # 201",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836054857",
            "country_code": "US",
            "telephone_number": "208-514-2528",
            "fax_number": "208-375-2217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "GREGORY",
        "middle_name": "LEON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "3771032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.