Mountain States Oncology Group
NPI 1205093739 · Nurse Practitioner · Boise, ID
Mountain States Oncology Group is a Nurse Practitioner organization in Boise, ID (NPI 1205093739).
Provider details
- NPI number
- 1205093739
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Joni Sullivan, Business Administrator(208) 343-3223
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2008-05-21
- Last updated
- 2008-05-21
Frequently asked questions
- What is Mountain States Oncology Group's NPI number?
- Mountain States Oncology Group's National Provider Identifier (NPI) is 1205093739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain States Oncology Group?
- Mountain States Oncology Group is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mountain States Oncology Group located?
- Mountain States Oncology Group's practice location on file with NPPES is 210 W Jefferson St, Boise, ID 83702-6044.
- What is Mountain States Oncology Group's phone number?
- The practice phone number listed in the NPPES registry for Mountain States Oncology Group is (208) 343-3223.
- Who is the authorized official for Mountain States Oncology Group?
- The authorized official listed on Mountain States Oncology Group's NPPES record is Joni Sullivan, Business Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain States Oncology Group's NPI active?
- Yes — Mountain States Oncology Group's NPI (1205093739) is active in the NPPES registry as of the last update on 2008-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.