Evernorth Care Providers - Arizona PC
NPI 1295597821 · General Practice Physician · Boise, ID
Evernorth Care Providers - Arizona PC is a General Practice Physician organization in Boise, ID (NPI 1295597821).
Provider details
- NPI number
- 1295597821
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Grace Blue, Credentialing Sr. Manager(773) 292-4800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-01-29
- Last updated
- 2024-01-29
- Certified
- 2024-01-29
Frequently asked questions
- What is Evernorth Care Providers - Arizona PC's NPI number?
- Evernorth Care Providers - Arizona PC's National Provider Identifier (NPI) is 1295597821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evernorth Care Providers - Arizona PC?
- Evernorth Care Providers - Arizona PC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Evernorth Care Providers - Arizona PC located?
- Evernorth Care Providers - Arizona PC's practice location on file with NPPES is 950 W Bannock St Ste 1100, Boise, ID 83702-6140.
- What is Evernorth Care Providers - Arizona PC's phone number?
- The practice phone number listed in the NPPES registry for Evernorth Care Providers - Arizona PC is (773) 292-4800.
- Who is the authorized official for Evernorth Care Providers - Arizona PC?
- The authorized official listed on Evernorth Care Providers - Arizona PC's NPPES record is Grace Blue, Credentialing Sr. Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evernorth Care Providers - Arizona PC's NPI active?
- Yes — Evernorth Care Providers - Arizona PC's NPI (1295597821) is active in the NPPES registry as of the last update on 2024-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.