Mountain States Neonatology, Inc.
NPI 1205850823 · Neonatal-Perinatal Medicine Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain States Neonatology, Inc. is a Neonatal-Perinatal Medicine Physician organization in Boise, ID (NPI 1205850823).
Provider details
- NPI number
- 1205850823
- Entity type
- Organization
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nanette Sanders, Rcm Director(800) 243-3839
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Maternal & Fetal Medicine Physician207VM0101X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Neonatal Nurse Practitioner363LN0000X
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
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
Mailing address
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Frequently asked questions
- What is Mountain States Neonatology, Inc.'s NPI number?
- Mountain States Neonatology, Inc.'s National Provider Identifier (NPI) is 1205850823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain States Neonatology, Inc.?
- Mountain States Neonatology, Inc. is classified in the NPPES registry as Neonatal-Perinatal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mountain States Neonatology, Inc. located?
- Mountain States Neonatology, Inc.'s practice location on file with NPPES is 1055 N Curtis Rd, Boise, ID 83706-1309.
- What is Mountain States Neonatology, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mountain States Neonatology, Inc. is (208) 367-7610.
- Does Mountain States Neonatology, Inc. accept Medicare?
- Mountain States Neonatology, Inc. 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 Mountain States Neonatology, Inc.?
- The authorized official listed on Mountain States Neonatology, Inc.'s NPPES record is Nanette Sanders, Rcm Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain States Neonatology, Inc.'s NPI active?
- Yes — Mountain States Neonatology, Inc.'s NPI (1205850823) is active in the NPPES registry as of the last update on 2024-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.