Individual provider Active NPI

Kyirsty Bower, FNP

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1740679356
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
73106 Issued in ID
Practice address
6533 W Emerald St
Boise, ID 83704-8737
Phone
(208) 302-5200
Fax
(208) 302-5225
NPI assigned
Jan 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202005744NP OR
Family Nurse Practitioner 363LF0000X AP61163603 WA
Family Nurse Practitioner 363LF0000X 73106 ID Primary

Addresses

Primary practice location

6533 W Emerald St
Boise, ID 83704-8737

Mailing address

3340 E Goldstone Dr
Meridian, ID 83642-1026
Phone (208) 302-9342

Other practice location 1

5440 SW Westgate Dr Ste 345
Portland, OR 97221-2416
Phone (602) 334-1232

Other practice location 2

315 SE Stonemill Dr Ste 228
Vancouver, WA 98684-6987
Phone (360) 687-6650

Other names 1

  • Kyirsty Unger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kunger1173413@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210713001874 WA Practitioner - Nurse Practitioner 6103230123
I20220830002184 ID Practitioner - Nurse Practitioner 6103230123 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

701 E Parkcenter Blvd
Boise, ID 83706-6528
Phone (208) 381-6500

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202005744NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Mar 15, 2023 Accepting new patients
Aleracare of Idaho, Inc CurrentSince Aug 1, 2022 Accepting new patients
Mindful Therapy Group PC CurrentSince Feb 24, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Mar 15, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince May 15, 2024 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince May 15, 2024 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

4045 E Bell Rd
Ste 157
Phoenix, AZ 85032
Phone (602) 404-0015

5350 E High St
Ste 300
Phoenix, AZ 85054
Phone (480) 716-5820

2083 E Hospitality Ln
Boise, ID 83716
Phone (208) 333-8345

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

6533 W Emerald St
Boise, ID 83704
Phone (208) 302-5200

701 E Parkcenter Blvd
Boise, ID 83706
Phone (208) 381-6400

1449 S David Ln
#120
Boise, ID 83705
Phone (888) 510-9298

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

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

85 S Middleton Rd
Nampa, ID 83651
Phone (208) 381-4100

Interoperability endpoints

  • Direct secure messaging: kunger1173413@oc.providencedirect.org

Organizations & group practices 8

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 2

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": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740679356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-302-9342",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6533 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048737",
            "telephone_number": "208-302-5200",
            "fax_number": "208-302-5225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5440 SW Westgate Dr Ste 345",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972212416",
            "country_code": "US",
            "telephone_number": "602-334-1232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 SE Stonemill Dr Ste 228",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986846987",
            "country_code": "US",
            "telephone_number": "360-687-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWER",
        "first_name": "KYIRSTY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202005744NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61163603",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "73106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kunger1173413@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "101 NW 12th Ave Ste 107",
            "city": "Battle Ground",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986049141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KYIRSTY",
            "last_name": "UNGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.