Zana Delic, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-1100 Issued in ID

Practice address

1075 N Curtis
Ste 200
Boise, ID 83706-1350

Phone

(208) 367-8333

Fax

(208) 367-4252

NPI assigned

Jul 14, 2012

Last updated

Aug 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midvalley Healthcare PLLCGroup PAC ID 0749327880, 17 clinicians

Dwyer and Harrington, PLLCGroup PAC ID 4981838711, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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.

• Dwyer & Harrington, PLLC

  dba Omega Mental Health

  • Nurse Practitioner
  • Boise, ID
  • NPI 1568589596
  Medicare reassignment Care Compare group
• Midvalley Healthcare PLLC

  dba MidValley Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meridian, ID
  • NPI 1346573532
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1528313749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-367-8333",
            "fax_number": "208-367-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 N CURTIS",
            "address_2": "STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061350",
            "telephone_number": "208-367-8333",
            "fax_number": "208-367-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIC",
        "first_name": "ZANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-14",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-1100",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA158770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Dean Delawyer, PHD
• Joshua Jon Delbusso, RN
• Robin Jackson Deleon, MD
• Jeffrey Delfico, LMSW
• Spencer Delfino, MD
• Deme Dellairo, LCSW
• Delray Maughan, M.D. PLLC
• Lisa Marie Deluca, LPC, NCC
• Kimberly Demark, NP
• Lehi Nathan Demas, DC

• Medical Physician Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.

Verify at the official NPI Registry.