Petrie White Family Medicine of Idaho
NPI 1447629555 · Family Medicine Physician · Emmett, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Petrie White Family Medicine of Idaho is a Family Medicine Physician organization in Emmett, ID (NPI 1447629555).
Provider details
- NPI number
- 1447629555
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ryan White, Clinic Administrator(208) 365-7131
- License
- M7802 (ID)
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
10 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
- Emmett Family Medicine and Direct Primary Care
Registry dates
- Enumerated
- 2015-09-18
- Last updated
- 2016-01-12
Frequently asked questions
- What is Petrie White Family Medicine of Idaho's NPI number?
- Petrie White Family Medicine of Idaho's National Provider Identifier (NPI) is 1447629555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petrie White Family Medicine of Idaho?
- Petrie White Family Medicine of Idaho is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Petrie White Family Medicine of Idaho located?
- Petrie White Family Medicine of Idaho's practice location on file with NPPES is 2001 E Quail Run Rd, Emmett, ID 83617-5059.
- What is Petrie White Family Medicine of Idaho's phone number?
- The practice phone number listed in the NPPES registry for Petrie White Family Medicine of Idaho is (208) 365-7131.
- Does Petrie White Family Medicine of Idaho accept Medicare?
- Petrie White Family Medicine of Idaho 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 Petrie White Family Medicine of Idaho?
- The authorized official listed on Petrie White Family Medicine of Idaho's NPPES record is Ryan White, Clinic Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petrie White Family Medicine of Idaho's NPI active?
- Yes — Petrie White Family Medicine of Idaho's NPI (1447629555) is active in the NPPES registry as of the last update on 2016-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.