Active NPI
Miriah Jean Graybill
- Family Nurse Practitioner
- Twin Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 77319
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 77319 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Provider Group | Current | Accepting new patients | |
| Urgent Care Associates PLLC | Current | Accepting new patients | |
| Sterling Provider Group | Current | 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.
-
- Urgent Care Clinic/Center
- Idaho Falls, ID
- NPI 1205300407
-
- Preferred Provider Organization
- Idaho Falls, ID
- NPI 1609046408
-
- Urgent Care Clinic/Center
- Butte, MT
- NPI 1871220038
-
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.