Greene Mountain Medical
NPI 1124710009 · Primary Care Clinic/Center · Nampa, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Greene Mountain Medical is a Primary Care Clinic/Center organization in Nampa, ID (NPI 1124710009).
Provider details
- NPI number
- 1124710009
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Aimee Shepard, Owner(208) 695-0388
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2023-07-05
- Certified
- 2023-07-05
Frequently asked questions
- What is Greene Mountain Medical's NPI number?
- Greene Mountain Medical's National Provider Identifier (NPI) is 1124710009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Greene Mountain Medical?
- Greene Mountain Medical is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Greene Mountain Medical located?
- Greene Mountain Medical's practice location on file with NPPES is 3719 Wheeler Cir, Nampa, ID 83686-7949.
- What is Greene Mountain Medical's phone number?
- The practice phone number listed in the NPPES registry for Greene Mountain Medical is (208) 695-0388.
- Does Greene Mountain Medical accept Medicare?
- Greene Mountain Medical is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Greene Mountain Medical?
- The authorized official listed on Greene Mountain Medical's NPPES record is Aimee Shepard, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Greene Mountain Medical's NPI active?
- Yes — Greene Mountain Medical's NPI (1124710009) is active in the NPPES registry as of the last update on 2023-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.