Active NPI
McNally Mobile Care PLLC
- Gerontology Nurse Practitioner
- Fruitland, ID
National Provider Identifier
1982422564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- MCNALLY MOBILE CARE PLLC
- Practice address
- 811 NW 12TH St
Fruitland, ID 83619-2268 - Phone
- (986) 207-1720
- Fax
- (866) 531-4582
- NPI assigned
- Oct 1, 2024
- Last updated
- Aug 24, 2026
- 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
- Crystal McNally, NP
- Title
- Ceo
- Phone
- (986) 200-6219
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Gerontology Nurse Practitioner | 363LG0600X | NU | Primary |
Addresses
Primary practice location
811 NW 12TH St
Fruitland, ID 83619-2268
Mailing address
811 NW 12TH St
Fruitland, ID 83619-2268
Phone (986) 200-6219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
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, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- New Plymouth, ID
- NPI 1538775390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1982422564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 NW 12TH ST",
"city": "FRUITLAND",
"state": "ID",
"postal_code": "836192268",
"telephone_number": "986-200-6219",
"fax_number": "866-531-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 NW 12TH ST",
"city": "FRUITLAND",
"state": "ID",
"postal_code": "836192268",
"telephone_number": "986-207-1720",
"fax_number": "866-531-4582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCNALLY MOBILE CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-01",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "MCNALLY",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "986-200-6219",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fruitland, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.