Allison Nicole Clark, NP-C
Individual provider Active NPI Nurse Practitioner · Boise, ID
NPI 1750186581 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1750186581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2571938 (ID)
- Practice address
- 1000 N Curtis Rd Ste 303
Boise, ID 83706-1347 - Phone
- (208) 377-4000
- NPI assigned
- Feb 17, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allergy Group PC
Practice addresses (Care Compare)
1000 N Curtis Rd
Suite 303
Boise, ID 83706-1347
Phone (208) 377-4000
Hospital & facility affiliations
- St Luke'S Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250408003333 | ID | Practitioner - Nurse Practitioner | 5698299923 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2571938 | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Group PC | Current |
Accepting new patients | |
| Allergy Associates PA | Past | Accepting new patients |
Locations
1000 N Curtis Rd
Ste 303
Boise, ID 83706
Phone (208) 322-5351
161 E Mallard Dr
Ste 130
Boise, ID 83706
Phone (208) 384-9060
119 W Logan St
Ste A
Caldwell, ID 83605
Phone (208) 454-2050
323 E Riverside Dr
Ste 220
Eagle, ID 83616
Phone (208) 343-5600
1603 12th Ave Rd
Ste D
Nampa, ID 83686
Phone (208) 468-0590
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2571938 | ID | Yes |
Addresses
Primary practice location
1000 N Curtis Rd Ste 303
Boise, ID 83706-1347
Mailing address
406 S 4TH St Apt 615
Boise, ID 83702-7743
Phone (309) 310-2521
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.