Mariya Rose Ostermiller, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 683 Issued in ID

Practice address

2535 E Fairview Ave
Meridian, ID 83642-8072

Phone

(208) 519-4333

Fax

(208) 205-9134

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Treasure Valley Dermatology and Skin Cancer Center, PLLCGroup PAC ID 8628330552, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ostermiller-mostermiller@dermatologyboise.ezderm.info

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.

• Treasure Valley Dermatology & Skin Cancer Center, PLLC

  • Dermatology Physician
  • Meridian, ID
  • NPI 1598271645
  Medicare reassignment Care Compare group
• D Peter Reedy MD PA

  • Neurological Surgery Physician
  • Boise, ID
  • NPI 1124226378
  NPD (past)
• Dermatology Clinic of Idaho

  • Dermatology Physician
  • Boise, ID
  • NPI 1811942188
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1407047202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 E FAIRVIEW AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428072",
            "telephone_number": "208-519-4333",
            "fax_number": "208-205-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 E FAIRVIEW AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428072",
            "telephone_number": "208-519-4333",
            "fax_number": "208-205-9134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 N Curtis Rd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061333",
            "country_code": "US",
            "telephone_number": "208-519-4333",
            "fax_number": "208-205-9134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTERMILLER",
        "first_name": "MARIYA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA 683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407047202",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ostermiller-mostermiller@dermatologyboise.ezderm.info",
            "affiliation": "N",
            "address_1": "6051 N Eagle Rd",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837130997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Orthopaedic Trauma Consultants of Idaho
• Orthopedic Health Care Incorporated
• Kody Quentin Osborne, DMD
• Osteoarthritis Centers of America Medical Group PC
• Jan Osterberg
• Sis E Ostolasa, PA
• Marivin Oto, DDS
• Sophie Otradovec
• Barbara A Ottenhoff, PSYD
• Allyson Overton, MS CCC-SLP

• Physician Assistant in Meridian, ID
• Providers in Meridian, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.

Verify at the official NPI Registry.