Mmmedical Group LLC.
NPI 1548890460 · Nurse Practitioner · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mmmedical Group LLC. is a Nurse Practitioner organization in Boise, ID (NPI 1548890460).
Provider details
- NPI number
- 1548890460
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Randy Evaro, President(208) 333-0000
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 9858 W State StStar, ID 83669-5210Phone: (208) 286-9471Fax: (833) 918-0940
Registry dates
- Enumerated
- 2020-01-20
- Last updated
- 2020-09-23
- Certified
- 2020-09-23
Frequently asked questions
- What is Mmmedical Group LLC.'s NPI number?
- Mmmedical Group LLC.'s National Provider Identifier (NPI) is 1548890460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mmmedical Group LLC.?
- Mmmedical Group LLC. is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mmmedical Group LLC. located?
- Mmmedical Group LLC.'s practice location on file with NPPES is 801 N Stilson Rd Ste 300, Boise, ID 83703-5145.
- What is Mmmedical Group LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Mmmedical Group LLC. is (208) 332-4540.
- Does Mmmedical Group LLC. accept Medicare?
- Mmmedical Group LLC. 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 Mmmedical Group LLC.?
- The authorized official listed on Mmmedical Group LLC.'s NPPES record is Randy Evaro, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mmmedical Group LLC.'s NPI active?
- Yes — Mmmedical Group LLC.'s NPI (1548890460) is active in the NPPES registry as of the last update on 2020-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.