NPIMap

Individual provider Active NPI

Noel Anderson, PA-C

  • Physician Assistant
  • Boise, ID
National Provider Identifier
1881050540
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1897 Issued in ID
Practice address
425 W Bannock St
Boise, ID 83702-6035
Phone
(208) 343-6458
NPI assigned
Jan 12, 2016
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA 9109214 FL
Physician Assistant 363A00000X PA1897 ID Primary

Addresses

Primary practice location

425 W Bannock St
Boise, ID 83702-6035

Mailing address

425 W Bannock St
Boise, ID 83702-6035
Phone (208) 343-6458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201130002100 ID Practitioner - Physician Assistant 0547671323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Gastroenterology Associates LLPGroup PAC ID 6002708773, 35 clinicians

Practice addresses (Care Compare)

1200 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 489-1431

1216 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 343-6458

425 W Bannock St
Boise, ID 83702-6035
Phone (208) 489-1431

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9109214FLMDPhysician Assistant
PA1897IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Provider Group CurrentSince Jan 14, 2024 Accepting new patients
Urgent Care Associates PLLC Current Accepting new patients
Sterling Provider Group CurrentSince Jan 14, 2024 Accepting new patients

Locations

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

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

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

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) 981-0132

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1881050540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026035",
            "telephone_number": "208-343-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026035",
            "telephone_number": "208-343-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "NOEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9109214",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA1897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.