Individual provider Active NPI

Carrie Jo Bailey, MD

  • Internal Medicine Physician
  • Boise, ID
National Provider Identifier
1730529546
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M-16409 Issued in ID
Practice address
500 W Fort St
Boise, ID 83702-4501
Phone
(208) 422-1314
NPI assigned
Jun 26, 2013
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X MRM1715 ID
Internal Medicine Physician 207R00000X MRM1715 ID
Internal Medicine Physician 207R00000X M-16409 ID Primary
Hospitalist Physician 208M00000X 19715 ND

Addresses

Primary practice location

500 W Fort St
Boise, ID 83702-4501

Mailing address

500 W Fort St # 111R
Boise, ID 83702-4501
Phone (208) 422-1314

Other practice location 1

895 N 6th E
Mountain Home, ID 83647-2207
Phone (208) 587-8401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MN, WV, SD, ID, WI6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20221014000413 MO Practitioner - Internal Medicine 4981969557 Reassigns benefits to 4 organizations
I20230605002206 MN Practitioner - Hospitalist 4981969557 Reassigns benefits to 4 organizations
I20230725000384 WV Practitioner - Hospitalist 4981969557
I20250206003047 SD Practitioner - Internal Medicine 4981969557 Reassigns benefits to 1 organization
I20250930003257 ID Practitioner - Internal Medicine 4981969557 Reassigns benefits to 1 organization
I20251216000112 WI Practitioner - Internal MedicinePractitioner - Family Practice 4981969557 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians
Avera St LukesGroup PAC ID 6406764927, 164 clinicians
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-2300

112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

895 N 6TH
Mountain Home, ID 83647-2207
Phone (208) 587-8401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-16409IDMDInternal Medicine Physician
MRM1715IDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage CurrentSince Mar 20, 2023 Accepting new patients
Fairview Health Services Current Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Oct 12, 2022 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince May 15, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 21, 2025 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Nov 21, 2025 Accepting new patients
Avera St. Luke's Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Mercy Clinic Joplin LLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Oct 12, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 21, 2025 Accepting new patients
Avera St. Lukes CurrentSince Jan 1, 2025 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Mercy Hospital Carthage Family Medicine CurrentSince Mar 20, 2023 Accepting new patients
Sanford Health Network CurrentSince Jan 20, 2026 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin CurrentSince Nov 21, 2025 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 21, 2025 Accepting new patients
Sanford Health Network Family Medicine CurrentSince Jan 20, 2026 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Nov 21, 2025 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Jun 13, 2023 Accepting new patients
Healtheast Medical Research Institute Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Fairview Health Services CurrentSince Jul 1, 2023 Accepting new patients
Sanford Health of Northern Minnesota Family Medicine Current Accepting new patients
Sanford Health of Northern Minnesota Family Medicine CurrentSince May 15, 2023 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Family Medicine CurrentSince Nov 21, 2025 Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine CurrentSince Sep 16, 2025 Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine CurrentSince Sep 16, 2025 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Oct 12, 2022 Accepting new patients
Sanford Health of Northern Minnesota Past Accepting new patients
Sanford Clinic Family Medicine Past Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

895 N 6th E
Mtn Home, ID 83647
Phone (208) 580-2661

29980 Network Pl
Chicago, IL 60673

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

401 W Mohawk Dr
Tomahawk, WI 54487
Phone (715) 453-7200

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

Organizations & group practices 34

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.

View all 34

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1730529546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W FORT ST # 111R",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024501",
            "telephone_number": "208-422-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W FORT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024501",
            "telephone_number": "208-422-1314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "895 N 6th E",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "ID",
            "postal_code": "836472207",
            "country_code": "US",
            "telephone_number": "208-587-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CARRIE",
        "middle_name": "JO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRM1715",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "MRM1715",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-16409",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ND",
            "license": "19715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.