NPIMap

Individual provider Active NPI

Dana M Peachey, NP

  • Nurse Practitioner
  • Boise, ID
National Provider Identifier
1699720383
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP714A Issued in ID
Practice address
287 W Jefferson St
Boise, ID 83702-6045
Phone
(208) 322-1680
Fax
(208) 322-1695
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP714A ID Primary

Addresses

Primary practice location

287 W Jefferson St
Boise, ID 83702-6045

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 322-1680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050812000484 ID Practitioner - Nurse Practitioner 8820028525 Reassigns benefits to 1 organization
I20090826000946 OR Practitioner - Nurse Practitioner 8820028525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert Heart and VascularGroup PAC ID 7113389909, 10 clinicians

Practice addresses (Care Compare)

3015 E Goldstone Dr
Suite 230
Meridian, ID 83642-1224
Phone (208) 781-6039

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • St Luke'S Nampa Medical Center Hospital, Nampa, ID, CCN 130071
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Treasure Valley Hospital Hospital, Boise, ID, CCN 130063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP714AIDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Heart & Vascular Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince May 1, 2012 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Cardiovascular Disease CurrentSince May 1, 2012 Accepting new patients
Idaho Cardiology Associates PA Cardiovascular Disease Past Accepting new patients

Locations

100 E Idaho St
Boise, ID 83712
Phone (208) 343-3223

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

287 W Jefferson St
Boise, ID 83702
Phone (208) 343-7940

8854 W Emerald St
Ste 260
Boise, ID 83704
Phone (208) 398-4306

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

3015 E Goldstone Dr
Ste 230
Meridian, ID 83642
Phone (208) 398-4306

3950 17th St
Ste A
Baker City, OR 97814
Phone (541) 523-1001

3950 17th St
Baker City, OR 97814
Phone (541) 523-1001

Interoperability endpoints

  • Direct secure messaging: dana.peachey.p47@direct.newportmed.nextgenshare.com
  • Direct secure messaging: dana.peacheynp.p47@direct.hdhv.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1699720383",
    "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": "208-322-1680",
            "fax_number": "208-322-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 W JEFFERSON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026045",
            "telephone_number": "208-322-1680",
            "fax_number": "208-322-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACHEY",
        "first_name": "DANA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP714A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.