Active NPI
Patricia E. Moore, NP
- Family Nurse Practitioner
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 60041
- Practice address
- 600 N Robbins Rd Ste 301
Boise, ID 83702-4539 - Phone
- (208) 385-3329
- Fax
- (208) 489-4063
- NPI assigned
- Nov 24, 2018
- Last updated
- Nov 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 60041 | ID | Primary |
Addresses
Primary practice location
600 N Robbins Rd Ste 301
Boise, ID 83702-4539
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other practice location 1
520 S Eagle Rd
Meridian, ID 83642-6351
Phone (208) 706-4151
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1560 N Crestmont Dr
Suite a
Meridian, ID 83642-2178
Phone (208) 650-4888
600 N Robbins Rd
Boise, ID 83702-4565
608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| Cherry Heights Family Clinic LLC | Current | Accepting new patients | |
| Southern Idaho Health Partners LLC | Current | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
600 N Robbins Rd
Ste 301
Boise, ID 83702
Phone (208) 385-3329
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
1560 N Crestmont Dr
Ste A
Meridian, ID 83642
Phone (208) 650-4888
520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000
215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Meridian, ID
- NPI 1952078115
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
dba Saltzer Clinics
- General Practice Physician
- Meridian, ID
- NPI 1952701401
-
dba St Lukes RHC - Trinity Mountain
- Family Medicine Physician
- Mountain Home, ID
- NPI 1417297821
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
dba St Lukes Nampa Medical Center
- General Acute Care Hospital
- Nampa, ID
- NPI 1831590660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1912476672",
"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": "600 N ROBBINS RD STE 301",
"city": "BOISE",
"state": "ID",
"postal_code": "837024539",
"telephone_number": "208-385-3329",
"fax_number": "208-489-4063"
}
],
"practiceLocations": [
{
"address_1": "520 S Eagle Rd",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "ID",
"postal_code": "836426351",
"country_code": "US",
"telephone_number": "208-706-4151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "PATRICIA",
"middle_name": "E.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-24",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "60041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.