Idaho Advanced Medical Care LLC
NPI 1487307468ActiveOrganization· Nurse Practitioner· Boise, ID
Nurse Practitioner in Boise, Idaho, registered in NPPES in January 2022. The authorized official on file is David Cooper, Owner.
Overview
| NPI | 1487307468 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2022 |
| Last updated in NPPES | Mar 21, 2022 |
| Certified by provider | Feb 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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