Active NPI
Brekk C Macpherson, NP
- Acute Care Nurse Practitioner
- Boise, ID
National Provider Identifier
1669798286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024175251
- Practice address
- 190 E Bannock St
Boise, ID 83712-6241 - Phone
- (208) 381-3971
- Fax
- (208) 381-2566
- NPI assigned
- Apr 8, 2010
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NP-963A | ID | |
| Acute Care Nurse Practitioner | 363LA2100X | 0024175251 | VA | Primary |
Addresses
Primary practice location
190 E Bannock St
Boise, ID 83712-6241
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8752
Other practice location 1
1075 N Curtis Rd
Suite 200
Boise, ID 83706-1300
Phone (208) 367-8333
Other practice location 2
1213 E Clay St
Richmond, VA 23298
Phone (804) 828-9084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024175251 | VA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1213 E Clay St
Richmond, VA 23298
Phone (804) 827-1207
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.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- 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": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1669798286",
"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",
"telephone_number": "208-381-8752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 E BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126241",
"telephone_number": "208-381-3971",
"fax_number": "208-381-2566"
}
],
"practiceLocations": [
{
"address_1": "1075 N Curtis Rd",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837061300",
"country_code": "US",
"telephone_number": "208-367-8333",
"fax_number": "208-367-2003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1213 E Clay St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "23298",
"country_code": "US",
"telephone_number": "804-828-9084",
"fax_number": "804-828-8891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACPHERSON",
"first_name": "BREKK",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-08",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "ID",
"license": "NP-963A",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024175251",
"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 Apr 22, 2024; 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.