Individual provider Active NPI

Alison Melle, NP-C

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1770501397
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54856 Issued in ID
Practice address
9050 W Overland Rd Ste 270
Boise, ID 83709-2724
Phone
(208) 515-2991
Fax
(877) 737-6214
NPI assigned
Jul 18, 2006
Last updated
Aug 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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 54856 ID Primary

Addresses

Primary practice location

9050 W Overland Rd Ste 270
Boise, ID 83709-2724

Mailing address

4028 N Quenzer Way
Meridian, ID 83646-5928
Phone (208) 398-9974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2019 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
54856IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bespoke Body & Wellness Family CurrentSince Feb 11, 2024 Accepting new patients
Evanston Anesthesia Associates, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1770501397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 N QUENZER WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465928",
            "telephone_number": "208-398-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 W OVERLAND RD STE 270",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092724",
            "telephone_number": "208-515-2991",
            "fax_number": "877-737-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLE",
        "first_name": "ALISON",
        "name_prefix": "Dr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "54856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.