Revolutionary Medicine of Idaho
NPI 1487493292 · Family Nurse Practitioner · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revolutionary Medicine of Idaho is a Family Nurse Practitioner organization in Boise, ID (NPI 1487493292).
Provider details
- NPI number
- 1487493292
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Robbins, Owner(208) 871-0297
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
2 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
Registry dates
- Enumerated
- 2024-05-21
- Last updated
- 2024-05-21
- Certified
- 2024-05-21
Frequently asked questions
- What is Revolutionary Medicine of Idaho's NPI number?
- Revolutionary Medicine of Idaho's National Provider Identifier (NPI) is 1487493292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revolutionary Medicine of Idaho?
- Revolutionary Medicine of Idaho is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Revolutionary Medicine of Idaho located?
- Revolutionary Medicine of Idaho's practice location on file with NPPES is 4776 N Five Mile Rd Ste 101, Boise, ID 83713-2715.
- What is Revolutionary Medicine of Idaho's phone number?
- The practice phone number listed in the NPPES registry for Revolutionary Medicine of Idaho is (986) 777-0278.
- Does Revolutionary Medicine of Idaho accept Medicare?
- Revolutionary 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 Revolutionary Medicine of Idaho?
- The authorized official listed on Revolutionary Medicine of Idaho's NPPES record is Jeffrey Robbins, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revolutionary Medicine of Idaho's NPI active?
- Yes — Revolutionary Medicine of Idaho's NPI (1487493292) is active in the NPPES registry as of the last update on 2024-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.