Active NPI
Stacey Kay Wright, NP
- Family Nurse Practitioner
- Garden City, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP539A
- Practice address
- 5593 N Glenwood St
Garden City, ID 83714 - Phone
- (208) 322-5354
- Fax
- (208) 322-5379
- NPI assigned
- Mar 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 813271 | NV | |
| Family Nurse Practitioner | 363LF0000X | NP539A | ID | Primary |
Addresses
Primary practice location
5593 N Glenwood St
Garden City, ID 83714
Mailing address
3810 E Hardesty St
Boise, ID 83716-5595
Phone (208) 631-0685
Other practice location 1
300 E Jefferson St Ste 201
Boise, ID 83712-6261
Phone (208) 381-4100
Other practice location 2
727 Fairview Dr Ste A
Carson City, NV 89701-5493
Phone (775) 684-5018
Other practice location 3
3810 E Hardesty St
Boise, ID 83716-5595
Phone (208) 631-0685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806663602 | Medicaid | ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1276 W River St
Suite 100
Boise, ID 83702-7083
Phone (208) 338-4699
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP539A | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Behavioral Health Services | Current | Accepting new patients | |
| Access Behavioral Health Services, Inc | Current | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients | |
| Mountain View Behavioral Health, PLLC | Past | Accepting new patients | |
| State of Nevada | Past | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients | |
| State of Nevada | Past | Accepting new patients |
Locations
1276 W River St
Ste 100
Boise, ID 83702
Phone (208) 338-4699
3307 Caldwell Blvd
Ste 104
Nampa, ID 83651
Phone (208) 465-4833
Organizations & group practices 8
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.
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1487700589
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1992035364
-
- Primary Care Clinic/Center
- Boise, ID
- NPI 1932506508
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1124390406
-
- General Acute Care Hospital
- Boise, ID
- NPI 1447299342
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Winnemucca, NV
- NPI 1275623530
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Silver Springs, NV
- NPI 1811079742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1497716476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 E HARDESTY ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837165595",
"telephone_number": "208-631-0685",
"fax_number": "208-322-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5593 N GLENWOOD ST",
"city": "GARDEN CITY",
"state": "ID",
"postal_code": "83714",
"telephone_number": "208-322-5354",
"fax_number": "208-322-5379"
}
],
"practiceLocations": [
{
"address_1": "300 E Jefferson St Ste 201",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837126261",
"country_code": "US",
"telephone_number": "208-381-4100",
"fax_number": "208-381-1665",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "727 Fairview Dr Ste A",
"address_purpose": "LOCATION",
"city": "Carson City",
"state": "NV",
"postal_code": "897015493",
"country_code": "US",
"telephone_number": "775-684-5018",
"fax_number": "775-687-1181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3810 E Hardesty St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837165595",
"country_code": "US",
"telephone_number": "208-631-0685",
"fax_number": "208-322-5379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "STACEY",
"middle_name": "KAY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "813271",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP539A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806663602",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.