Active NPI
Elizabeth Puckett Thurmond, RN MSN AGACNP-BC
- Nurse Practitioner
- Meridian, ID
National Provider Identifier
1902124142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 56592
- Practice address
- 3015 E Goldstone Dr Ste 230
Meridian, ID 83642-1224 - Phone
- (208) 398-4306
- Fax
- (208) 500-2823
- NPI assigned
- May 12, 2010
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 56592 | ID | Primary |
Addresses
Primary practice location
3015 E Goldstone Dr Ste 230
Meridian, ID 83642-1224
Mailing address
9850 St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2108
Other practice location 1
225 North Pine Street
Suite E
Gunnison, CO 81230
Phone (970) 641-0209
Other practice location 2
9850 St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2108
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3015 E Goldstone Dr
Suite 230
Meridian, ID 83642-1224
Phone (208) 781-6039
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- Treasure Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 81.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Heart & Vascular | Current | Accepting new patients | |
| County of Gunnison | Past | Accepting new patients | |
| Gunnison County Family Planning | Past | Accepting new patients |
Locations
3015 E Goldstone Dr
Ste 230
Meridian, ID 83642
Phone (208) 398-4306
Interoperability endpoints
- elizabeth.thurmondnp.p47@direct.newportmed.nextgenshare.com
- elizabeth.thurmondnp.p47@direct.hdhv.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Cardiovascular Disease Physician
- Meridian, ID
- NPI 1508552043
-
- Public Health & General Preventive Medicine Physician
- Gunnison, CO
- NPI 1942366612
-
- Public Health or Welfare Agency
- Gunnison, CO
- NPI 1023268992
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Special Hospital
- Boise, ID
- NPI 1720040132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1902124142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 ST LUKES DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836877912",
"telephone_number": "208-505-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 E GOLDSTONE DR STE 230",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421224",
"telephone_number": "208-398-4306",
"fax_number": "208-500-2823"
}
],
"practiceLocations": [
{
"address_1": "225 North Pine Street",
"address_2": "Suite E",
"address_purpose": "LOCATION",
"city": "Gunnison",
"state": "CO",
"postal_code": "81230",
"country_code": "US",
"telephone_number": "970-641-0209",
"fax_number": "970-641-8346",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9850 St Lukes Dr",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836877912",
"country_code": "US",
"telephone_number": "208-505-2108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THURMOND",
"first_name": "ELIZABETH",
"middle_name": "PUCKETT",
"name_prefix": "Mrs.",
"credential": "RN MSN AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-12",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "56592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.