Organization Active NPI

Mayo Family Healthcare PLLC

  • Primary Care Nurse Practitioner
  • Nampa, ID
National Provider Identifier
1770129322
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
MAYO FAMILY HEALTHCARE PLLC
Practice address
5826 E Franklin Rd
Nampa, ID 83687-5020
Phone
(208) 318-1619
Fax
(208) 318-1612
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Billiesue Mayo, NPNPI 1396245742
Title
Owner/NP
Phone
(208) 318-1619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

5826 E Franklin Rd
Nampa, ID 83687-5020

Mailing address

5826 E Franklin Rd
Nampa, ID 83687-5020
Phone (208) 318-1619

Other identifiers 2

IdentifierTypeStateIssuer
1770129322MedicaidID
1396245742MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200323001614 ID Part B Supplier - Clinic/Group Practice 0749618940 Receives reassigned benefits from 2 practitioners
Practice locations: Nampa, ID

National Provider Directory

National Provider Directory

Locations

5826 E Franklin Rd
Nampa, ID 83687
Phone (208) 408-0060

1901 Caldwell Blvd
Ste 1044
Nampa, ID 83651

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1770129322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 E FRANKLIN RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875020",
            "telephone_number": "208-318-1619",
            "fax_number": "208-318-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5826 E FRANKLIN RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875020",
            "telephone_number": "208-318-1619",
            "fax_number": "208-318-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO FAMILY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "BILLIESUE",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "208-318-1619",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770129322",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396245742",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.