Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174871420 Individual Practitioner Female Practitioner

Mary S Randall , NP

Nurse Practitioner • Boise, ID

Professional Overview & Biography Verified Profile Summary

Mary Randall, NP is a registered healthcare professional specializing in Nurse Practitioner in Boise, ID. Practice services are available at 6140 W CURTISIAN AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6140 W Curtisian Ave
Ste 200

Boise, ID 837048880

Telephone 2083020000
Fax 2083020055
Associated Practice Facility / Clinic
🏢 N S Support Llc Facility NPI 1609885870

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
173 Specialists

Practicing in Boise, ID (602 Statewide)

Telehealth Adoption Rate
10.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
32.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
68 64 $115.00 $77.61
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
16 16 $10.00 $6.50

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ID NP-1157A

(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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Petar Igic , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1053365494

Doctor of Medicine (M.D.)

Dr. Joseph Walsh , MD

Internal Medicine - Interventional Cardiology

NPI 1063674505

Doctor of Medicine (M.D.)

Cheryl Fish , NP

Nurse Practitioner

NPI 1083185235

Nurse Practitioner

William Egolf

Nurse Practitioner

NPI 1083296461
Drew Miiller , NP

Nurse Practitioner - Family

NPI 1093316721

Nurse Practitioner

Bridget Oconnell

Pharmacist - Pharmacotherapy

NPI 1124986773

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2016

Registered at 6140 W CURTISIAN AVE, STE 200, BOISE, ID 837048880 (Tel: 2083020000)

📍
Updated Business Mailing Address November 30, 2016

Registered at 3340 E GOLDSTONE WAY, MERIDIAN, ID 836421026 (Tel: 2083020000)

👤
Provider Name / Credentials Updated November 30, 2016

Recorded as MARY RANDALL, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Nurse Practitioner (License #NP-1157A in ID)

🟢
Initial NPI Registration & Enumeration August 16, 2012

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: 1174871420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2012
Last Update: November 30, 2016
Sole Proprietor: No

Mailing Address

3340 E Goldstone Way

Meridian, ID 836421026

Phone: 2083020000

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.