Granite Mountain Surgery PLLC
NPI 1477359909 · Surgery Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Granite Mountain Surgery PLLC is a Surgery Physician organization in Boise, ID (NPI 1477359909).
Provider details
- NPI number
- 1477359909
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amber Elliott, Owner(208) 412-4530
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
1 yr 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
- 2025-02-24
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Frequently asked questions
- What is Granite Mountain Surgery PLLC's NPI number?
- Granite Mountain Surgery PLLC's National Provider Identifier (NPI) is 1477359909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Granite Mountain Surgery PLLC?
- Granite Mountain Surgery PLLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Granite Mountain Surgery PLLC located?
- Granite Mountain Surgery PLLC's practice location on file with NPPES is 8950 W Emerald St Ste 195, Boise, ID 83704-8296.
- What is Granite Mountain Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for Granite Mountain Surgery PLLC is (208) 999-3034.
- Does Granite Mountain Surgery PLLC accept Medicare?
- Granite Mountain Surgery 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 Granite Mountain Surgery PLLC?
- The authorized official listed on Granite Mountain Surgery PLLC's NPPES record is Amber Elliott, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Granite Mountain Surgery PLLC's NPI active?
- Yes — Granite Mountain Surgery PLLC's NPI (1477359909) is active in the NPPES registry as of the last update on 2025-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.