Individual provider Active NPI

Garhett J Ulmer, NP

  • Nurse Practitioner
  • Boise, ID
National Provider Identifier
1619562295
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
55923 Issued in ID
Practice address
6140 W Curtisian Ave Ste 200
Boise, ID 83704-0107
Phone
(208) 302-0000
NPI assigned
Mar 4, 2021
Sex
Male
Sole proprietor
No

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
Clinical Cardiac Electrophysiology Physician 207RC0001X 55923 ID
Nurse Practitioner 363L00000X 55923 ID Primary

Addresses

Primary practice location

6140 W Curtisian Ave Ste 200
Boise, ID 83704-0107

Mailing address

PO Box 381
Kooskia, ID 83539-0381
Phone (208) 935-5073

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address garhett.ulmer@saintalphonsus.org Direct SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

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
I20210429000875 ID Practitioner - Nurse Practitioner 0840609061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6140 W Curtisian Ave
Suite 300
Boise, ID 83704-0107
Phone (208) 302-0000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55923IDMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc CurrentSince May 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Nurse Practitioner CurrentSince May 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Nurse Practitioner Current Accepting new patients

Locations

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

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

6140 W Curtisian Ave
Ste 300
Boise, ID 83704
Phone (208) 367-6575

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

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

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

4424 E Flamingo Ave
Ste 300
Nampa, ID 83687
Phone (208) 302-0200

Interoperability endpoints

  • Direct secure messaging: gulmer1564115@direct.trinity-health.org

Organizations & group practices 3

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 9

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1619562295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381",
            "city": "KOOSKIA",
            "state": "ID",
            "postal_code": "835390381",
            "telephone_number": "208-935-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 W CURTISIAN AVE STE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040107",
            "telephone_number": "208-302-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMER",
        "first_name": "GARHETT",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "ID",
            "license": "55923",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "55923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "garhett.ulmer@saintalphonsus.org",
            "affiliation": "Y",
            "affiliationName": "SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6140 W Curtisian Ave Ste 200",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837040107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.