IndividualActive
Mark Phelan, RN
NPI 1457879975 · Registered Nurse · Boise, ID
Mark Phelan, RN is a Registered Nurse provider in Boise, ID (NPI 1457879975).
Provider details
- NPI number
- 1457879975
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- License
- N-29179 (ID)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
779 S. Tennyson Way
Boise, ID 83709
Phone: (208) 724-1829
Fax: (208) 724-1829
Street-level locationGet directions
Mailing address
779 S Tennyson Way
Boise, ID 83709-7738
Registry dates
- Enumerated
- 2017-09-05
- Last updated
- 2022-07-21
Frequently asked questions
- What is Mark Phelan's NPI number?
- Mark Phelan's National Provider Identifier (NPI) is 1457879975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Phelan's specialty?
- Mark Phelan is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Mark Phelan located?
- Mark Phelan's practice location on file with NPPES is 779 S. Tennyson Way, Boise, ID 83709.
- What is Mark Phelan's phone number?
- The practice phone number listed in the NPPES registry for Mark Phelan is (208) 724-1829.
- Is Mark Phelan's NPI active?
- Yes — Mark Phelan's NPI (1457879975) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.