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Mark Granrud, PA-C
NPI 1043286222 · Physician Assistant · Nampa, ID
Mark Granrud, PA-C is a Physician Assistant provider in Nampa, ID (NPI 1043286222).
Provider details
- NPI number
- 1043286222
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA621 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
215 E Hawaii Avenue
Nampa, ID 83686
Phone: (208) 463-3000
Fax: (208) 463-3034
Street-level locationGet directions
Mailing address
217 W Georgia
Nampa, ID 83686
Registry dates
- Enumerated
- 2006-02-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mark Granrud's NPI number?
- Mark Granrud's National Provider Identifier (NPI) is 1043286222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Granrud's specialty?
- Mark Granrud is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mark Granrud located?
- Mark Granrud's practice location on file with NPPES is 215 E Hawaii Avenue, Nampa, ID 83686.
- What is Mark Granrud's phone number?
- The practice phone number listed in the NPPES registry for Mark Granrud is (208) 463-3000.
- Is Mark Granrud's NPI active?
- Yes — Mark Granrud's NPI (1043286222) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.