Brian C Cey, NP
Individual provider Active NPI Nurse Practitioner · Boise, ID
NPI 1659939031 · NPPES record last updated Aug 8, 2019
Key facts
- NPI
- 1659939031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 61327 (ID)
- Practice address
- 6052 W State St
Boise, ID 83703-2739 - Phone
- (208) 344-7799
- Fax
- (208) 344-7152
- NPI assigned
- May 31, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alliance Medical Group LLC
Practice addresses (Care Compare)
6052 W State St
Boise, ID 83703-2739
Phone (208) 947-1947
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- Saint Alphonsus Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190809003054 | ID | Practitioner - Nurse Practitioner | 0042547226 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61327 | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Medical Group, LLC | Current |
Accepting new patients | |
| Alliance Medical Group, LLC | Current | Accepting new patients | |
| Alliance Medical Group, LLC | Past | Accepting new patients |
Locations
6052 W State St
Boise, ID 83703
Phone (208) 344-7799
4971 W Overland Rd
Boise, ID 83705
Phone (208) 472-5050
10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690
Interoperability endpoints
- brian.cey@phmg.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 61327 | ID | Yes |
Addresses
Primary practice location
6052 W State St
Boise, ID 83703-2739
Mailing address
PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6500
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.