Elmer G Dodge , FNP
Nurse Practitioner • Star, ID
Professional Overview & Biography Verified Profile Summary
Elmer Dodge, FNP is a registered healthcare professional specializing in Nurse Practitioner in Star, ID. Practice services are available at 9858 W STATE ST under active NPI credentials.
Practice Location & Contact Primary Location
9858 W State St
Star, ID 836695210
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Star, ID
Practicing in Star, ID (602 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2020-09-01NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 163WG0000X
Definition to come...
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Nurse Practitioner
Nurse Practitioner - Family
Doctor of Nursing Practice
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 9858 W STATE ST, STAR, ID 836695210 (Tel: 2082860666)
Registered at PO BOX 44267, BOISE, ID 837110267 (Tel: 2082860666)
Recorded as ELMER DODGE, FNP
Registered Nurse (License #NP534A in ID)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 44267
Boise, ID 837110267
Phone: 2082860666
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