Comprehensive Dermatology of Idaho, PLLC
NPI 1386921294 · Dermatology Physician · Nampa, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Comprehensive Dermatology of Idaho, PLLC is a Dermatology Physician organization in Nampa, ID (NPI 1386921294).
Provider details
- NPI number
- 1386921294
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan Owsley, Owner(208) 467-7546
- License
- PA280 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
14 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
- 2011-11-05
- Last updated
- 2019-12-23
- Certified
- 2019-12-23
Frequently asked questions
- What is Comprehensive Dermatology of Idaho, PLLC's NPI number?
- Comprehensive Dermatology of Idaho, PLLC's National Provider Identifier (NPI) is 1386921294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Comprehensive Dermatology of Idaho, PLLC?
- Comprehensive Dermatology of Idaho, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Comprehensive Dermatology of Idaho, PLLC located?
- Comprehensive Dermatology of Idaho, PLLC's practice location on file with NPPES is 16111 N Brinson St Ste 100, Nampa, ID 83687-5509.
- What is Comprehensive Dermatology of Idaho, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Comprehensive Dermatology of Idaho, PLLC is (208) 467-7546.
- Does Comprehensive Dermatology of Idaho, PLLC accept Medicare?
- Comprehensive Dermatology of Idaho, PLLC 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 Comprehensive Dermatology of Idaho, PLLC?
- The authorized official listed on Comprehensive Dermatology of Idaho, PLLC's NPPES record is Ryan Owsley, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Comprehensive Dermatology of Idaho, PLLC's NPI active?
- Yes — Comprehensive Dermatology of Idaho, PLLC's NPI (1386921294) is active in the NPPES registry as of the last update on 2019-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.