Mmg LLC
NPI 1407469166 · Nurse Practitioner · Meridian, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mmg LLC is a Nurse Practitioner organization in Meridian, ID (NPI 1407469166).
Provider details
- NPI number
- 1407469166
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kenneth Norris, Managing Partner(801) 485-6166
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
5 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
Other names (DBA / former)
- Doing business as
- Mobile Medical Group
- Doing business as
- Mobile Medical Group
Registry dates
- Enumerated
- 2020-08-24
- Last updated
- 2022-07-22
- Certified
- 2022-07-22
Frequently asked questions
- What is Mmg LLC's NPI number?
- Mmg LLC's National Provider Identifier (NPI) is 1407469166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mmg LLC?
- Mmg LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mmg LLC located?
- Mmg LLC's practice location on file with NPPES is 2440 S Titanium Pl, Meridian, ID 83642-6703.
- What is Mmg LLC's phone number?
- The practice phone number listed in the NPPES registry for Mmg LLC is (208) 456-2659.
- Does Mmg LLC accept Medicare?
- Mmg LLC 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 Mmg LLC?
- The authorized official listed on Mmg LLC's NPPES record is Kenneth Norris, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mmg LLC's NPI active?
- Yes — Mmg LLC's NPI (1407469166) is active in the NPPES registry as of the last update on 2022-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.