Individual provider Active NPI

Melissa Gaffrey, APRN, NP-C

  • Family Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1730654435
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
59576 Issued in ID
Practice address
1965 S Eagle Rd
Meridian, ID 83642-9288
Phone
(208) 906-8400
Fax
(208) 296-7021
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 59576 ID Primary

Addresses

Primary practice location

1965 S Eagle Rd
Meridian, ID 83642-9288

Mailing address

1965 S Eagle Rd
Meridian, ID 83642-9288
Phone (208) 906-8400

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
I20191101001281 ID Practitioner - Nurse Practitioner 3072845528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1965 S Eagle Rd
Suite 120
Meridian, ID 83642-9287
Phone (208) 906-8400

Hospital & facility affiliations

  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59576IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chirohealth PC CurrentSince Oct 28, 2023 Accepting new patients
JFF Medical, LLC CurrentSince Oct 28, 2023 Accepting new patients
Taylor G Wright PC Family CurrentSince Feb 1, 2023 Accepting new patients
United Wound Healing Accountable Care Consultants PLLC Family PastSince Jun 1, 2022 Accepting new patients

Locations

745 S Progress Ave
Ste 150
Meridian, ID 83642
Phone (208) 813-1958

1965 S Eagle Rd
Ste 120
Meridian, ID 83642
Phone (208) 887-9355

784 W Clear Water Loop
Post Falls, ID 83854
Phone (206) 317-1200

6405 S 3000 E
Ste 300
Salt Lake Cty, UT 84121
Phone (801) 266-5113

4624 S Holladay Blvd
Ste 201
Slc, UT 84117
Phone (385) 234-4785

Interoperability endpoints

  • Direct secure messaging: melisa@twd-ut.direct.office.nextgen.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HACDDD/Endpoint/HACDDD

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 5

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": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1730654435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429288",
            "telephone_number": "208-906-8400",
            "fax_number": "801-266-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429288",
            "telephone_number": "208-906-8400",
            "fax_number": "208-296-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFREY",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "59576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.