Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437281375 Individual Practitioner Female Practitioner

Mary Susan Roach , FNP

Nurse Practitioner - Family • Mccall, ID

Professional Overview & Biography Verified Profile Summary

Mary Roach, FNP is a registered healthcare professional specializing in Nurse Practitioner - Family in Mccall, ID. Practice services are available at 703 N. 1ST STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

703 N. 1st Street

Mccall, ID 836383851

Telephone 2086308002
Fax 2086342174

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Mccall, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Mccall, ID (1231 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License ID NP 87-A

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Sarah Jessup , DO

Internal Medicine - Cardiovascular Disease

NPI 1720240161

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 703 N. 1ST STREET, MCCALL, ID 836383851 (Tel: 2086308002)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 470, MCCALL, ID 836380470 (Tel: 2086342174)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARY ROACH, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #NP 87-A in ID)

🟢
Initial NPI Registration & Enumeration March 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437281375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 470

Mccall, ID 836380470

Phone: 2086342174

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.