Mary Mcculloch, NNP
NPI 1275672396 · Critical Care Neonatal Nurse Practitioner · Boise, ID
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Mcculloch, NNP is a Critical Care Neonatal Nurse Practitioner provider in Boise, ID (NPI 1275672396).
Provider details
- NPI number
- 1275672396
- Entity type
- Individual
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NNP
- Sex
- Female
- Sole proprietor
- No
- License
- 289606 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
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
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 14502 W Meeker BlvdSun City West, AZ 85375-5282Phone: (602) 805-2669
- 50 N Medical DrSlc, UT 84132-0001Phone: (801) 581-6913Fax: (801) 581-5060
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Frequently asked questions
- What is Mary Mcculloch's NPI number?
- Mary Mcculloch's National Provider Identifier (NPI) is 1275672396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Mcculloch's specialty?
- Mary Mcculloch is listed in the NPPES registry with a primary specialty of Critical Care Neonatal Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Mcculloch located?
- Mary Mcculloch's practice location on file with NPPES is 190 E Bannock St, Boise, ID 83712-6241.
- What is Mary Mcculloch's phone number?
- The practice phone number listed in the NPPES registry for Mary Mcculloch is (208) 381-2088.
- Does Mary Mcculloch accept Medicare?
- Mary Mcculloch is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Mcculloch's NPI active?
- Yes — Mary Mcculloch's NPI (1275672396) is active in the NPPES registry as of the last update on 2026-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.