Active NPI
Trevor Spence, NP-C
- Nurse Practitioner
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53451
- Practice address
- 3301 N Sawgrass Way
Boise, ID 83704-4493 - Phone
- (208) 375-2658
- NPI assigned
- Jan 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95016395 | CA | |
| Nurse Practitioner | 363L00000X | 53451 | ID | Primary |
Addresses
Primary practice location
3301 N Sawgrass Way
Boise, ID 83704-4493
Mailing address
5373 W Milano Dr
Meridian, ID 83646-7603
Other practice location 1
206 E Elm St
Caldwell, ID 83605-4815
Phone (208) 459-4511
Other practice location 2
5373 W Milano Dr
Meridian, ID 83646-7603
Phone (208) 241-8887
Other practice location 3
1210 NW 16th St
Fruitland, ID 83619-2202
Phone (208) 459-4511
Other practice location 4
3875 E Overland Rd Ste 106
Meridian, ID 83642-9005
Phone (208) 895-0888
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
Enrollment records 1
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)
3301 N Sawgrass Way
Boise, ID 83704-4493
Phone (208) 375-0862
7979 W Rifleman St
Suite 110
Boise, ID 83704-9066
Phone (208) 321-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 81.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95016395 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Orthopedic Care LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Direct Orthopedic Care LLC | Orthopaedic Surgery | Current | Accepting new patients |
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| Richard Lochhead MD PLLC | Past | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
7979 W Rifleman St
Ste 110
Boise, ID 83704
Phone (208) 321-4000
7979 W Rifleman St
Boise, ID 83704
Phone (208) 321-4000
3301 N Sawgrass Way
Boise, ID 83704
Phone (208) 375-0862
1789 S Broadway Ave
Ste 100
Boise, ID 83706
Phone (208) 287-0203
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
1210 NW 16th St
Fruitland, ID 83619
Phone (208) 452-8600
3015 E Magic View Dr
Ste 130
Meridian, ID 83642
Phone (208) 482-5567
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Boise, ID
- NPI 1356769434
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Orthopaedic Surgery Physician
- Meridian, ID
- NPI 1588331268
-
- Neurological Surgery Physician
- Boise, ID
- NPI 1588063168
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1669063384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5373 W MILANO DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836467603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 N SAWGRASS WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837044493",
"telephone_number": "208-375-2658"
}
],
"practiceLocations": [
{
"address_1": "206 E Elm St",
"address_purpose": "LOCATION",
"city": "Caldwell",
"state": "ID",
"postal_code": "836054815",
"country_code": "US",
"telephone_number": "208-459-4511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5373 W Milano Dr",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836467603",
"country_code": "US",
"telephone_number": "208-241-8887",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1210 NW 16th St",
"address_purpose": "LOCATION",
"city": "Fruitland",
"state": "ID",
"postal_code": "836192202",
"country_code": "US",
"telephone_number": "208-459-4511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3875 E Overland Rd Ste 106",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836429005",
"country_code": "US",
"telephone_number": "208-895-0888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCE",
"first_name": "TREVOR",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-27",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95016395",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "53451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.