NPIMap

Individual provider Active NPI

Aaron Drew Moorhouse, DO

  • Family Medicine Physician
  • Meridian, ID
National Provider Identifier
1689602914
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-242 Issued in ID
Practice address
4740 N. Penngrove Way
Ste. 100
Meridian, ID 83646
Phone
(208) 938-3663
Fax
(208) 938-3664
NPI assigned
Jun 28, 2006
Last updated
Jan 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O-242 ID Primary

Addresses

Primary practice location

4740 N. Penngrove Way
Ste. 100
Meridian, ID 83646

Mailing address

4740 N Penngrove Way Ste 100
Meridian, ID 83646-7446
Phone (208) 938-3663

Other identifiers 1

IdentifierTypeStateIssuer
805459700MedicaidID

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Meridian

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WY, AZ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120124000659 ID Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6901958669 Reassigns benefits to 1 organization
I20241118002753 WY Practitioner - Family Practice 6901958669 Reassigns benefits to 2 organizations
I20260617001532 AZ Practitioner - Family Practice 6901958669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Primary Care PLLCGroup PAC ID 5799223491, 16 clinicians
Pioneer Family Medicine PLLCGroup PAC ID 5193877850, 13 clinicians

Practice addresses (Care Compare)

2812 N Norwalk
Suite 102
Mesa, AZ 85215-1148
Phone (701) 516-4637

4010 N College Dr
Suite 1
Cheyenne, WY 82001-1960
Phone (701) 516-4637

4740 N Penngrove Way
Suite 100
Meridian, ID 83646-7446
Phone (208) 938-3663

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Primary Care PLLC CurrentSince Nov 1, 2024 Accepting new patients
Legacy Medical LLC CurrentSince Aug 2, 2021 Accepting new patients
Pioneer Family Medicine PLLC Family Medicine CurrentSince Sep 1, 2002 Accepting new patients
Treasure Valley Emergency Physicians Past Accepting new patients
Boise SNF Operations, LLC Past Accepting new patients
Emmett of Cascadia, LLC Past Accepting new patients
Premier Emergency Physicians of Idaho Medical Group Past Accepting new patients

Locations

2812 N Norwalk
Ste 102
Mesa, AZ 85215

13150 W Persimmon Ln
Boise, ID 83713
Phone (208) 510-9890

4740 N Penngrove Way
Ste 100
Meridian, ID 83646
Phone (208) 938-3663

600 S 2nd St
Ste 200
Bismarck, ND 58504
Phone (701) 757-5463

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBBGCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCIBCD

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Life Care Center of BoiseBoise, ID, CCN 135038 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2016
Feb 28, 2025
Cherry Ridge of CascadiaEmmett, ID, CCN 135095 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 3, 2021
Jun 18, 2025
Achs Hospice & Palliative Care, LLCEagle, ID, CCN 131571 Hospice 5% Or Greater Indirect Ownership Interest (7.5%)
Corporate Officer		 Oct 27, 2017
Oct 17, 2017
Caringedge Hospice of Hermantown LLCHermantown, MN, CCN 241604 Hospice 5% Or Greater Indirect Ownership Interest (7.5%) Jan 1, 2018
Caringedge Hospice of Casper LLCCasper, WY, CCN 531529 Hospice 5% Or Greater Indirect Ownership Interest (7.5%) Jul 2, 2018

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1689602914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 N PENNGROVE WAY STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467446",
            "telephone_number": "208-938-3663",
            "fax_number": "208-938-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 N. PENNGROVE WAY",
            "address_2": "STE. 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83646",
            "telephone_number": "208-938-3663",
            "fax_number": "208-938-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORHOUSE",
        "first_name": "AARON",
        "middle_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805459700",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Meridian",
            "affiliation": "N",
            "address_1": "4740 N. Penngrove Way",
            "address_2": "Ste. 100",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "83646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.