Active NPI
Meghan M Galloway, P.A.
- Physician Assistant
- Boise, ID
National Provider Identifier
1679726434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-913
- Practice address
- 1072 N Liberty St Ste 303
Boise, ID 83704-8708 - Phone
- (208) 302-4200
- NPI assigned
- Oct 24, 2008
- Last updated
- Apr 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-913 | ID | Primary |
Addresses
Primary practice location
1072 N Liberty St Ste 303
Boise, ID 83704-8708
Mailing address
1072 N Liberty St Ste 303
Boise, ID 83704-8708
Phone (208) 302-4200
Other practice location 1
3875 E Overland Rd
Meridian, ID 83642-9005
Phone (208) 327-5600
Other practice location 2
6140 W Curtisian Ave Ste 400
Boise, ID 83704-8907
Phone (208) 327-5600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100001806098 | Other | ID | REGENCE BLUESHIELD OF IDAHO |
| 1679726434 | Medicaid | ID | |
| PAS58 | Other | ID | BLUE CROSS OF ID |
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
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6140 W Curtisian Ave
Boise, ID 83704-8880
PO Box
Suite 190930
Boise, ID 83719
PO Box
Suite 190930
Boise, ID 83719-0930
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-913 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gustavel Orthopedics PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHDGBD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Boise, ID
- NPI 1861961732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
dba St Lukes Nampa Medical Center
- General Acute Care Hospital
- Nampa, ID
- NPI 1831590660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1679726434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 N LIBERTY ST STE 303",
"city": "BOISE",
"state": "ID",
"postal_code": "837048708",
"telephone_number": "208-302-4200",
"fax_number": "208-302-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 N LIBERTY ST STE 303",
"city": "BOISE",
"state": "ID",
"postal_code": "837048708",
"telephone_number": "208-302-4200"
}
],
"practiceLocations": [
{
"address_1": "3875 E Overland Rd",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836429005",
"country_code": "US",
"telephone_number": "208-327-5600",
"fax_number": "208-327-5602",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6140 W Curtisian Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837048907",
"country_code": "US",
"telephone_number": "208-327-5600",
"fax_number": "208-327-5602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLOWAY",
"first_name": "MEGHAN",
"middle_name": "M",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-24",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD OF IDAHO",
"identifier": "100001806098",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679726434",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ID",
"identifier": "PAS58",
"state": "ID"
}
],
"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 23, 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.