Individual provider Active NPI

Blair Eby, NP

  • Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1386307528
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
67902 Issued in ID
Practice address
1623 S Wells Ave
Meridian, ID 83642-5040
Phone
(208) 489-1450
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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 67902 ID Primary

Addresses

Primary practice location

1623 S Wells Ave
Meridian, ID 83642-5040

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 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
I20211111002939 ID Practitioner - Nurse Practitioner 0244629202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sleep Wake Idaho PLLCGroup PAC ID 7517406697, 7 clinicians

Practice addresses (Care Compare)

7272 W Potomac Dr
Boise, ID 83704-9149
Phone (208) 884-2922

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
67902IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe Airway Myo, LLC Nurse Practitioner CurrentSince Feb 20, 2024 Accepting new patients
Sleep Wake Idaho PLLC Sleep Medicine CurrentSince Aug 1, 2025 Accepting new patients
Breathe Airway NP, LLC Nurse Practitioner CurrentSince Feb 20, 2024 Accepting new patients

Locations

7272 W Potomac Dr
Boise, ID 83704
Phone (208) 884-2922

6500 N Linder Rd
Unit 106
Meridian, ID 83646
Phone (208) 261-2318

210 W Georgia Ave
Ste 210
Nampa, ID 83686

210 W Georgia Ave
Ste 120
Nampa, ID 83686
Phone (208) 442-8222

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.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1386307528",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 S WELLS AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425040",
            "telephone_number": "208-489-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBY",
        "first_name": "BLAIR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "67902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.