Active NPI
Maycee Gielow, DO
- Surgery Physician
- Meridian, ID
National Provider Identifier
1558969196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4481207
- Practice address
- 520 S Eagle Rd Ste 1241
Meridian, ID 83642-6355 - Phone
- (208) 381-6930
- Fax
- (208) 381-6931
- NPI assigned
- Oct 15, 2020
- Last updated
- Aug 25, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Surgery Physician | 208600000X | PG205142 | OR | |
| Surgery Physician | 208600000X | 4481207 | ID | Primary |
Addresses
Primary practice location
520 S Eagle Rd Ste 1241
Meridian, ID 83642-6355
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8866
Other practice location 1
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-4906
Other practice location 2
200 University Pkwy
Yakima, WA 98901-9539
Phone (208) 899-2612
Other names 1
- Maycee Bekkedahl
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210708002185 | OR | Order and Referring Only - General Surgery | 7618379983 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1558969196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-381-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S EAGLE RD STE 1241",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426355",
"telephone_number": "208-381-6930",
"fax_number": "208-381-6931"
}
],
"practiceLocations": [
{
"address_1": "3600 NW Samaritan Dr",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303737",
"country_code": "US",
"telephone_number": "541-768-4906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 University Pkwy",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989019539",
"country_code": "US",
"telephone_number": "208-899-2612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIELOW",
"first_name": "MAYCEE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "PG205142",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "4481207",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "200 University Pkwy",
"city": "Yakima",
"state": "WA",
"country_code": "US",
"postal_code": "989019539",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MAYCEE",
"last_name": "BEKKEDAHL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.