Individual provider Active NPI

Stacey Kay Wright, NP

  • Family Nurse Practitioner
  • Garden City, ID
National Provider Identifier
1497716476
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP539A Issued in ID
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
806663602MedicaidID

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
I20060816000211 ID Practitioner - Nurse Practitioner 5193728939 Reassigns benefits to 2 organizations

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
Access Behavioral Health ServicesGroup PAC ID 5991860413, 32 clinicians

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

LicenseStateTypeSpecialty
NP539AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Behavioral Health Services Current Accepting new patients
Access Behavioral Health Services, Inc CurrentSince Feb 18, 2025 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
Mountain View Behavioral Health, PLLC PastSince Nov 28, 2016 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.

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

Verify at the official NPI Registry.