Individual provider Active NPI

Miriah Jean Graybill

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1831973064
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77319 Issued in ID
Practice address
625 Pole Line Rd W Ste 2a
Twin Falls, ID 83301-4270
Phone
(208) 814-8600
Fax
(208) 814-8942
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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 77319 ID Primary

Addresses

Primary practice location

625 Pole Line Rd W Ste 2a
Twin Falls, ID 83301-4270

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

250 E Highway 26
Shoshone, ID 83352-5306
Phone (208) 421-3780

Other practice location 2

801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone (208) 814-1000

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231108001650 ID Practitioner - Nurse Practitioner 0244687556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Provider GroupGroup PAC ID 2264773373, 52 clinicians

Practice addresses (Care Compare)

1404 Pomerelle Ave
Suite A1
Burley, ID 83318-2013
Phone (208) 878-8783

1952 Harrison Dr
Evanston, WY 82930-3241
Phone (307) 288-0404

2201 Thain Grade
Lewiston, ID 83501-4118
Phone (208) 717-3100

507 S Main St
Hailey, ID 83333-8929
Phone (208) 788-4122

7017 Daisy LN
Idaho Falls, ID 83402-5753
Phone 20854291111017

740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone 20854291111026

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
73.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77319IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Provider Group CurrentSince Jun 28, 2024 Accepting new patients
Urgent Care Associates PLLC Current Accepting new patients
Sterling Provider Group CurrentSince Jun 28, 2024 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

6965 N Glenwood St
Boise, ID 83714
Phone (208) 853-3000

10965 W Overland Rd
Boise, ID 83709
Phone (208) 900-9901

1129 S Broadway Ave
Boise, ID 83706
Phone (208) 795-9790

1404 Pomerelle Ave
Ste A1
Burley, ID 83318
Phone (208) 878-8783

5605 Northside Xing
Chubbuck, ID 83202
Phone (208) 547-5062

507 S Main St
Hailey, ID 83333
Phone (208) 788-0061

7017 Daisy Ln
Idaho Falls, ID 83402
Phone (208) 534-5878

740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111

2201 Thain Grade
Lewiston, ID 83501
Phone (208) 717-3100

1693 S Meridian Rd
#110
Meridian, ID 83642

3185 E Ustick Rd
Meridian, ID 83646
Phone (208) 296-7100

1610 Caldwell Blvd
Nampa, ID 83651
Phone (208) 207-8500

900 N Highway 41
Ste 2
Post Falls, ID 83854
Phone (208) 457-7100

130 W Main St
Rexburg, ID 83440
Phone (208) 356-8818

2761 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-3064

Organizations & group practices 4

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1831973064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 POLE LINE RD W STE 2A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014270",
            "telephone_number": "208-814-8600",
            "fax_number": "208-814-8942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 E Highway 26",
            "address_purpose": "LOCATION",
            "city": "Shoshone",
            "state": "ID",
            "postal_code": "833525306",
            "country_code": "US",
            "telephone_number": "208-421-3780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Pole Line Rd W",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015810",
            "country_code": "US",
            "telephone_number": "208-814-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAYBILL",
        "first_name": "MIRIAH",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "77319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.