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THIAGO ALBERTO NP
NPI 1023650512
Nurse Practitioner in Boise, ID

Active since October 16, 2019
48.8/100
CMS Quality Rating
11197 W FAIRVIEW AVE, BOISE, ID 83713(208) 378-8011 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2021, Sep 1, 2020, Jan 29, 2020 and 1 more (4 updates tracked since 2019).

About Thiago Alberto Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THIAGO ALBERTO NP (NPI 1023650512) is an individual nurse practitioner in Boise, Idaho, licensed in Idaho (62877) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1023650512
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTHIAGO ALBERTOCredential: NP
Location Address11197 W FAIRVIEW AVEBoise, ID 83713-7935
Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6500
Phone(208) 378-8011
Sole ProprietorNo
Enumeration DateOctober 16, 2019
Last NPPES UpdateJuly 13, 20214 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1023650512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · 62877
Definition
(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.
11197 W FAIRVIEW AVE, Boise, ID 83713
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

48.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality37.71
Improvement Activities40
Cost26.87

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNIFER M VINCENT DO
Family Medicine
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
JORDYN JARRETT NP
Nurse Practitioner
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
ALLIANCE MEDICAL GROUP, LLC
Family Medicine
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
RYAN A MOORE MD
Family Medicine
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
TANYA MARIE ALLMARAS
Physician Assistant
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
MS. JENNA LYNN MAFFEY M.M.S; PA-C
Physician Assistant (Medical)
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
ABBY M. LUENSMANN M.D.
Family Medicine
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011
MR. LARRY MICHAEL OBORN PA-C
Physician Assistant (Medical)
11197 W FAIRVIEW AVE
BOISE, ID 83713
Ada County (208) 378-8011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thiago Alberto's NPI number?

The NPI number for Thiago Alberto is 1023650512. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Where is Thiago Alberto located?

Thiago Alberto practices at 11197 W Fairview Ave, Boise, ID 83713. The listed phone number is (208) 378-8011.

What is Thiago Alberto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Thiago Alberto accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Thiago Alberto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thiago Alberto was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.