Individual provider Active NPI

Megan Lenkersdorfer, NP

  • Nurse Practitioner
  • Boise, ID
National Provider Identifier
1477197036
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
62697 Issued in ID
Practice address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone
(208) 367-2121
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 62697 ID
Nurse Practitioner 363L00000X 62697 ID Primary

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 367-7350

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
I20191231000646 ID Practitioner - Nurse Practitioner 7315371770 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Directors of Idaho PLLCGroup PAC ID 1951628544, 19 clinicians

Practice addresses (Care Compare)

900 N Happy Valley Rd
Nampa, ID 83687-8596
Phone (208) 401-9639

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Directors of Idaho PLLC CurrentSince Aug 15, 2023 Accepting new patients
Sound Physicians of Idaho Hospitalist CurrentSince Apr 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jan 1, 2020 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Nurse Practitioner Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc Hospitalist CurrentSince Jan 1, 2020 Accepting new patients

Locations

620 N 6th St
Bellevue, ID 83313
Phone (208) 788-7180

711 N Curtis Rd
Boise, ID 83706
Phone (208) 605-3000

909 E Reserve St
Boise, ID 83712
Phone (208) 343-7717

8211 W Ustick Rd
Boise, ID 83704
Phone (208) 375-3700

3550 W Americana Ter
Boise, ID 83706
Phone (208) 615-4940

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

6000 W Denton St
Boise, ID 83704
Phone (208) 230-8525

210 Cleveland Blvd
Caldwell, ID 83605
Phone (208) 459-1522

2814 S Indiana Ave
Caldwell, ID 83605
Phone (208) 454-0380

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

2867 E Copper Point Dr
Meridian, ID 83642
Phone (208) 401-9100

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000

900 N Happy Valley Rd
Nampa, ID 83687
Phone (208) 206-0261

660 S 2nd W
Rexburg, ID 83440
Phone (208) 356-0220

331 E Park St
Weiser, ID 83672
Phone (208) 549-0206

Interoperability endpoints

  • Direct secure messaging: mlenkersdorfer1564036@direct.trinity-health.org

Organizations & group practices 5

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1477197036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-367-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "telephone_number": "208-367-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENKERSDORFER",
        "first_name": "MEGAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "62697",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "62697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.