Individual provider Active NPI

Paige Marie Knickrehm, NP, CNM, BSN

  • Advanced Practice Midwife
  • Meridian, ID
National Provider Identifier
1982336525
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
56047 Issued in ID
Practice address
520 S Eagle Rd Ste 3209
Meridian, ID 83642-6356
Phone
(208) 706-3220
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X 56047 ID
Advanced Practice Midwife 367A00000X 56047 ID Primary

Addresses

Primary practice location

520 S Eagle Rd Ste 3209
Meridian, ID 83642-6356

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paige.knickrehm.p1@direct.obgynidaho.nextgenshare.com

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929001128 ID Practitioner - Certified Nurse Midwife (CNM) 8325424286 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
56047IDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Single Specialty CurrentSince Jun 30, 2022 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

520 S Eagle Rd
Ste AND3219
Meridian, ID 83642

520 S Eagle Rd
Ste 3219
Meridian, ID 83642
Phone (208) 345-0715

520 S Eagle Rd
Ste 3211
Meridian, ID 83642
Phone (208) 706-5930

520 S Eagle Rd
Ste 3213
Meridian, ID 83642
Phone (208) 323-2600

520 S Eagle Rd
Ste 3209
Meridian, ID 83642
Phone (208) 345-5250

9850 W St Lukes Dr
Ste 280
Nampa, ID 83687
Phone (208) 323-3767

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1982336525",
    "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": "520 S EAGLE RD STE 3209",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426356",
            "telephone_number": "208-706-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNICKREHM",
        "first_name": "PAIGE",
        "middle_name": "MARIE",
        "credential": "NP, CNM, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ID",
            "license": "56047",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ID",
            "license": "56047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paige.knickrehm.p1@direct.obgynidaho.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3520 E Louise Dr",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836426304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.