Active NPI
Janet G Graf, NP
- Family Nurse Practitioner
- Boise, ID
National Provider Identifier
1467556688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- N21412
- Practice address
- 413 N Allumbaugh
Suite 103
Boise, ID 83704 - Phone
- (208) 658-0800
- Fax
- (208) 323-1894
- NPI assigned
- Sep 8, 2006
- Last updated
- Apr 21, 2021
- 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 | N21412 | ID | Primary |
Addresses
Primary practice location
413 N Allumbaugh
Suite 103
Boise, ID 83704
Mailing address
413 N Allumbaugh St Ste 101
Boise, ID 83704-9219
Phone (208) 323-1125
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPJM1 | Other | BLUE CROSS | |
| 000010148209 | Other | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N21412 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen T. Bushi, M.D. | Family | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1467556688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 N ALLUMBAUGH ST STE 101",
"city": "BOISE",
"state": "ID",
"postal_code": "837049219",
"telephone_number": "208-323-1125",
"fax_number": "208-323-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 N ALLUMBAUGH",
"address_2": "SUITE 103",
"city": "BOISE",
"state": "ID",
"postal_code": "83704",
"telephone_number": "208-658-0800",
"fax_number": "208-323-1894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAF",
"first_name": "JANET",
"middle_name": "G",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "N21412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "NPJM1",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010148209",
"state": null
}
],
"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 Apr 21, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.