Active NPI
Carrie Jo Bailey, MD
- Internal Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M-16409
- Practice address
- 500 W Fort St
Boise, ID 83702-4501 - Phone
- (208) 422-1314
- NPI assigned
- Jun 26, 2013
- Last updated
- Sep 19, 2025
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| M-16409 | ID | MD | Internal Medicine Physician |
| MRM1715 | ID | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Carthage | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| The Howard Young Medical Center, Inc. | Current | Accepting new patients | |
| Avera St. Luke's | Internal Medicine | Current | Accepting new patients |
| Mercy Clinic Joplin LLC | Family Medicine | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Avera St. Lukes | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Internal Medicine | Current | Accepting new patients |
| Mercy Hospital Carthage | Family Medicine | Current | Accepting new patients |
| Sanford Health Network | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
| Aspirus Eagle River Hospital, Inc. | Current | Accepting new patients | |
| Camden-Clark Physician Corporation | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Family Medicine | Current | Accepting new patients |
| Fairview Health Services | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Family Medicine | Current | Accepting new patients |
| Sanford Health of Northern Minnesota | Family Medicine | Current | Accepting new patients |
| Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin | Family Medicine | Current | Accepting new patients |
| Rural Physicians Group-Pannu PLLC | Family Medicine | Current | Accepting new patients |
| Rural Physicians Group-Pannu PLLC | Family Medicine | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current | 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.
-
dba Avera Internal Medicine Aberdeen
- Internal Medicine Physician
- Aberdeen, SD
- NPI 1215100813
-
- Critical Access Hospital
- Antigo, WI
- NPI 1639187412
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Hospitalist Physician
- Greenwood Village, CO
- NPI 1861808719
Family Medicine, ID
-
dba Aspirus Stevens Point Clinic - Illinois Avenue
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
dba HealthEast Vadnais Heights Clinic
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
Family Medicine
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
- General Acute Care Hospital
- Woodruff, WI
- NPI 1184673352
-
dba Aspirus Eagle River Hospital
- Critical Access Hospital
- Eagle River, WI
- NPI 1346204385
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Elmore
- Ambulance
- Mountain Home, ID
- NPI 1477954204
Hospital
-
dba St Lukes Elmore Medical Center
- Critical Access Hospital
- Mountain Home, ID
- NPI 1699013565
-
- General Acute Care Hospital
- Aberdeen, SD
- NPI 1457309270
-
dba Aspirus Antigo Clinic
- Rural Health Clinic/Center
- Antigo, WI
- NPI 1821151366
Hospital
-
- Critical Access Hospital
- Antigo, WI
- NPI 1639187412
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
-
dba Mercy McCune-Brooks Hospital
- General Acute Care Hospital
- Carthage, MO
- NPI 1396012753
-
dba Sanford Worthington Medical Center
- Rural Acute Care Hospital
- Worthington, MN
- NPI 1396712618
-
dba Sanford Health Adrian Clinic
- Rural Acute Care Hospital
- Worthington, MN
- NPI 1679859912
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.