NPIMap

Individual provider Active NPI

Samantha A Conley, FNP

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1609585199
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54674 Issued in ID
Practice address
6140 W Curtisian Ave Ste 100
Boise, ID 83704-0109
Phone
(208) 302-0130
Fax
(208) 302-0135
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 54674 ID Primary

Addresses

Primary practice location

6140 W Curtisian Ave Ste 100
Boise, ID 83704-0109

Mailing address

6140 W Curtisian Ave Ste 100
Boise, ID 83704-0109
Phone (208) 302-0965

Other practice location 1

11114 W Gladiola St
Star, ID 83669-6328
Phone (208) 697-4157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117001546 ID Practitioner - Nurse Practitioner 5597924563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, 672 clinicians

Practice addresses (Care Compare)

3025 W Cherry LN
Meridian, ID 83642-8531

6140 W Curtisian Ave
Boise, ID 83704-0109

Hospital & facility affiliations

  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013
  • Saint Alphonsus Medical Center Ontario Hospital, Ontario, OR, CCN 380052
  • St. Alphonsus Medical Center - Baker City Hospital, Baker City, OR, CCN 381315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
54674IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Mar 1, 2023 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Mar 1, 2023 Accepting new patients
Ma Bo Inc CurrentSince Oct 26, 2023 Accepting new patients
Comprehensive Dermatology of Idaho, PLLC PastSince Feb 1, 2012 Accepting new patients

Locations

6140 W Curtisian Ave
Ste 100
Boise, ID 83704
Phone (208) 367-4224

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

1555 W Shoreline Dr
Ste 100
Boise, ID 83702
Phone (206) 953-3708

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

466 E 500 S
Ste 200
Salt Lake Cty, UT 84111
Phone (801) 485-5055

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00057
  • Direct secure messaging: sbooth1584393@direct.trinity-health.org

Organizations & group practices 7

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1609585199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 W CURTISIAN AVE STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040109",
            "telephone_number": "208-302-0965",
            "fax_number": "208-302-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 W CURTISIAN AVE STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040109",
            "telephone_number": "208-302-0130",
            "fax_number": "208-302-0135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11114 W Gladiola St",
            "address_purpose": "LOCATION",
            "city": "Star",
            "state": "ID",
            "postal_code": "836696328",
            "country_code": "US",
            "telephone_number": "208-697-4157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "SAMANTHA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "54674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.