Alexandra E Beattie, MD

Individual provider Active NPI Family Medicine Physician · Kuna, ID

NPI 1497338685 · NPPES record last updated Oct 13, 2025

Key facts

NPI
1497338685
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
M-17504 (ID)
Practice address
708 E Wythe Creek CT Ste 103
Kuna, ID 83634-5005
Phone
(208) 922-5130
Fax
(208) 375-2217
NPI assigned
May 4, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Health Inc (106 clinicians)

Practice addresses (Care Compare)

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital · Boise, ID · CCN 130006
  • Saint Alphonsus Regional Medical Center Hospital · Boise, ID · CCN 130007

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240708003515 ID Practitioner - Family Practice 5496157448 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Health, Inc. Current
since Jul 29, 2024
Accepting new patients

Locations

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

6565 W Emerald St
Boise, ID 83704
Phone (208) 377-5055

708 E Wythe Creek Ct
Ste 103
Kuna, ID 83634
Phone (208) 922-5130

9850 W St Lukes Dr
Ste 329
Nampa, ID 83687
Phone (208) 331-1155

Interoperability endpoints

  • Direct secure messaging: abeattie345195@direct.ochin.org
  • Direct secure messaging: alexandra.beattie.d1.p1@direct.idahoarthritis.nextgenshare.com
  • Direct secure messaging: alexandra.beattie@cdapeds.directbygreenway.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-17504 ID Yes

Addresses

Primary practice location

708 E Wythe Creek CT Ste 103
Kuna, ID 83634-5005

Mailing address

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Other practice location 1

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 13, 2025.

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1497338685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049251",
            "telephone_number": "208-514-2500",
            "fax_number": "208-375-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E WYTHE CREEK CT STE 103",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836345005",
            "telephone_number": "208-922-5130",
            "fax_number": "208-375-2217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 N Raymond St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837049251",
            "country_code": "US",
            "telephone_number": "208-514-2500",
            "fax_number": "208-375-2217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "ALEXANDRA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-17504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kuna, ID

All providers in Kuna, ID · Family Medicine Physician in Idaho

Sources for this page

Verify at the official NPI Registry.