Individual provider Active NPI

Cortney Lynn Schnupp, CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Nampa, ID
National Provider Identifier
1780949164
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
CNM-62A Issued in ID
Practice address
9850 W St Lukes Dr Ste 229
Nampa, ID 83687-7912
Phone
(208) 463-3000
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X CNM-62A ID Primary

Addresses

Primary practice location

9850 W St Lukes Dr Ste 229
Nampa, ID 83687-7912

Mailing address

215 E Hawaii Ave # 240
Nampa, ID 83686-6011
Phone (208) 463-3000

Other practice location 1

333 N 1st St
240
Boise, ID 83702-6100
Phone (208) 599-4877

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000429 ID Practitioner - Certified Nurse Midwife (CNM) 6507013745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Women'S Health, PLLCGroup PAC ID 7911346069, 5 clinicians

Practice addresses (Care Compare)

5826 E Franklin Rd
Nampa, ID 83687-5020
Phone (208) 593-6340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
CNM-62AIDMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health Associates, PLLC CurrentSince Jan 1, 2014 Accepting new patients
Southern Idaho Health Partners LLC CurrentSince Jan 1, 2023 Accepting new patients
Grace Women'S Health, PLLC CurrentSince Sep 19, 2024 Accepting new patients

Locations

333 N 1st St
Ste 240
Boise, ID 83702
Phone (208) 338-8900

9850 W St Lukes Dr
Ste 229
Nampa, ID 83687
Phone (208) 205-7700

9850 W St Lukes Dr
Ste 129
Nampa, ID 83687
Phone (208) 205-7600

215 E Hawaii Ave
#240
Nampa, ID 83686

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1780949164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E HAWAII AVE # 240",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866011",
            "telephone_number": "208-463-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 W ST LUKES DR STE 229",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836877912",
            "telephone_number": "208-463-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N 1st St",
            "address_2": "240",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026100",
            "country_code": "US",
            "telephone_number": "208-599-4877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHNUPP",
        "first_name": "CORTNEY",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "ID",
            "license": "CNM-62A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.