Individual provider Active NPI

Trisha Wineman, WHNP

  • Women's Health Nurse Practitioner
  • Boise, ID
National Provider Identifier
1679971741
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
61699 Issued in ID
Practice address
6259 W Emerald St
Boise, ID 83704-8731
Phone
(208) 489-1900
Fax
(208) 388-1996
NPI assigned
Dec 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Registered Nurse 163WG0100X 61699 ID
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 61699 ID
Women's Health Nurse Practitioner 363LW0102X 61699 ID Primary

Addresses

Primary practice location

6259 W Emerald St
Boise, ID 83704-8731

Mailing address

3463 W Breneman St
Boise, ID 83703-5559
Phone (541) 490-3919

Other identifiers 1

IdentifierTypeStateIssuer
61699OtherIDSTATE APRN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trisha.wineman.p1@direct.obgynidaho.nextgenshare.com

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
I20241003003844 ID Practitioner - Nurse Practitioner 3476084286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Associates, PAGroup PAC ID 4082519467, 15 clinicians

Practice addresses (Care Compare)

3520 E Louise Dr
Meridian, ID 83642-6304
Phone (208) 888-0909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T-Medica Mobil Anesthesia Inc. CurrentSince Oct 14, 2024 Accepting new patients
OB-GYN Associates, PA Obstetrics & Gynecology CurrentSince Oct 14, 2024 Accepting new patients

Locations

3101 E State St
Ste 2100
Eagle, ID 83616
Phone (208) 938-2220

3520 E Louise Dr
Meridian, ID 83642
Phone (208) 454-2035

875 S Vanguard Way
Ste 210
Meridian, ID 83642

9850 W St Lukes Dr
Ste 221
Nampa, ID 83687
Phone (208) 593-6340

9850 W St Lukes Dr
#221
Nampa, ID 83687
Phone (208) 455-1784

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1679971741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 W BRENEMAN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035559",
            "telephone_number": "541-490-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6259 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048731",
            "telephone_number": "208-489-1900",
            "fax_number": "208-388-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEMAN",
        "first_name": "TRISHA",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "ID",
            "license": "61699",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "ID",
            "license": "61699",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ID",
            "license": "61699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE APRN LICENSE",
            "identifier": "61699",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trisha.wineman.p1@direct.obgynidaho.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3520 E Louise Dr",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836426304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.