Active NPI
Taylor Roberts, PA-S
- Physician Assistant
- Boise, ID
National Provider Identifier
1952018764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-2740
- Practice address
- 6052 W State St
Boise, ID 83703-2739 - Phone
- (208) 344-7799
- Fax
- (208) 344-7152
- NPI assigned
- Nov 1, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-2740 | ID | Primary |
Addresses
Primary practice location
6052 W State St
Boise, ID 83703-2739
Mailing address
PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6500
Other practice location 1
2323 N Central Expy
Richardson, TX 75080-2712
Phone (214) 453-4533
Other practice location 2
910 NW 16th St Ste 101
Fruitland, ID 83619-2265
Phone (208) 452-8000
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
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
910 NW 16TH St
Fruitland, ID 83619-2265
Hospital & facility affiliations
- Saint Alphonsus Medical Center Ontario
- St Luke'S Regional Medical Center
- Saint Alphonsus Medical Center - Nampa
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-2740 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Medical Center- Ontario Inc | Current | Accepting new patients | |
| Saint Alphonsus Medical Center- Ontario Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Physician Assistant | Current | Accepting new patients |
Locations
910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
Interoperability endpoints
- troberts3358947@direct.trinity-health.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Ontario, OR
- NPI 1093034159
ID
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Physician Assistant
-
- General Acute Care Hospital
- Ontario, OR
- NPI 1891891792
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- General Acute Care Hospital
- Ontario, OR
- NPI 1891891792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1952018764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191050",
"city": "BOISE",
"state": "ID",
"postal_code": "837191050",
"telephone_number": "208-955-6500",
"fax_number": "208-955-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6052 W STATE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837032739",
"telephone_number": "208-344-7799",
"fax_number": "208-344-7152"
}
],
"practiceLocations": [
{
"address_1": "2323 N Central Expy",
"address_purpose": "LOCATION",
"city": "Richardson",
"state": "TX",
"postal_code": "750802712",
"country_code": "US",
"telephone_number": "214-453-4533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 NW 16th St Ste 101",
"address_purpose": "LOCATION",
"city": "Fruitland",
"state": "ID",
"postal_code": "836192265",
"country_code": "US",
"telephone_number": "208-452-8000",
"fax_number": "208-452-8055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "TAYLOR",
"credential": "PA-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-2740",
"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 Jul 20, 2026; 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.