Active NPI
Mindy Leroy, DNP, PMHNP-BC, FNP-C
- Family Nurse Practitioner
- Boise, ID
National Provider Identifier
1437653284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200441592RN
- Practice address
- 4401 N Eagle Rd Ste 102
Boise, ID 83713-4818 - Phone
- (208) 295-4417
- Fax
- (866) 455-1021
- NPI assigned
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200441592RN | OR | Primary |
Addresses
Primary practice location
4401 N Eagle Rd Ste 102
Boise, ID 83713-4818
Mailing address
4401 N Eagle Rd Ste 102
Boise, ID 83713-4818
Phone (208) 295-4417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1437653284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 N EAGLE RD STE 102",
"city": "BOISE",
"state": "ID",
"postal_code": "837134818",
"telephone_number": "208-295-4417",
"fax_number": "866-455-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 N EAGLE RD STE 102",
"city": "BOISE",
"state": "ID",
"postal_code": "837134818",
"telephone_number": "208-295-4417",
"fax_number": "866-455-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEROY",
"first_name": "MINDY",
"credential": "DNP, PMHNP-BC, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200441592RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.