NPIMap

Individual provider Active NPI

Alexandra Nicole Meier, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Boise, ID
National Provider Identifier
1619234622
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
M13259 Issued in ID
Practice address
1000 E Park Blvd Ste 120
Boise, ID 83712-7793
Phone
(208) 381-4100
NPI assigned
Apr 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M13259 ID
Geriatric Medicine (Internal Medicine) Physician 207RG0300X M13259 ID Primary

Addresses

Primary practice location

1000 E Park Blvd Ste 120
Boise, ID 83712-7793

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

5966 W Curtisian Ave
Boise, ID 83704-8801
Phone (208) 302-5400

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
I20160810001022 ID Practitioner - Geriatric MedicinePractitioner - Internal Medicine 0446575856 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
University of Utah School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

12273 W McMillan Rd
Boise, ID 83713-0555
Phone (208) 302-5500

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M13259IDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Sep 1, 2016 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Sep 1, 2016 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
St Lukes Clinic-Treasure Valley LLC Internal Medicine CurrentSince Mar 15, 2023 Accepting new patients
Full Circle Health, Inc. CurrentSince Nov 26, 2021 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Internal Medicine CurrentSince Mar 15, 2023 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

6140 W Curtisian Ave
Ste 2
Boise, ID 83704

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

6140 W Curtisian Ave
Ste 200
Boise, ID 83704
Phone (208) 363-9074

5966 W Curtisian Ave
Boise, ID 83704
Phone (208) 302-5450

1000 E Park Blvd
Ste 120
Boise, ID 83712
Phone (208) 381-4100

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

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

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

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

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1334448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1619234622",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARK BLVD STE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837127793",
            "telephone_number": "208-381-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5966 W Curtisian Ave",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048801",
            "country_code": "US",
            "telephone_number": "208-302-5400",
            "fax_number": "208-302-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEIER",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M13259",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "ID",
            "license": "M13259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.