OrganizationActive
Regional Physician Services of Idaho, PC
NPI 1417246158 · Nurse Practitioner · Nampa, ID
Provider details
- NPI number
- 1417246158
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Victoria Alvarez, Director, Credentialing(480) 862-1695
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1105 2nd St S Ste 100
Nampa, ID 83651-3911
Phone: (480) 862-1677
Fax: (480) 718-7643
Street-level locationGet directions
Mailing address
9201 E Mountain View #220
Scottsdale, AZ 85258-5172
Registry dates
- Enumerated
- 2011-04-04
- Last updated
- 2019-12-11
- Certified
- 2019-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.