Active NPI
Superior Medical Service, PLLC
- Family Nurse Practitioner
- Nampa, ID
National Provider Identifier
1972303089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SUPERIOR MEDICAL SERVICE, PLLC
- Practice address
- 10323 Colorful Dr
Nampa, ID 83687-5163 - Phone
- (208) 936-1418
- NPI assigned
- Mar 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Renee Rick, AGNP-C
- Title
- Owner/ Nurse Practitioner
- Phone
- (208) 936-1418
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
10323 Colorful Dr
Nampa, ID 83687-5163
Mailing address
10323 Colorful Dr
Nampa, ID 83687-5163
Phone (208) 936-1418
Other practice location 1
3049 SE 140th Ave
Portland, OR 97236-2829
Phone (208) 936-9665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, OR
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764806400000",
"number": "1972303089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10323 COLORFUL DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836875163",
"telephone_number": "208-936-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10323 COLORFUL DR",
"city": "NAMPA",
"state": "ID",
"postal_code": "836875163",
"telephone_number": "208-936-1418"
}
],
"practiceLocations": [
{
"address_1": "3049 SE 140th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972362829",
"country_code": "US",
"telephone_number": "208-936-9665",
"fax_number": "208-936-7029",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SUPERIOR MEDICAL SERVICE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-17",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A",
"authorized_official_last_name": "RICK",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "OWNER/ NURSE PRACTITIONER",
"authorized_official_telephone_number": "208-936-1418",
"authorized_official_credential": "AGNP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.