Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THERESA BALCERAK NP
NPI 1043258619
Nurse Practitioner in Boise, ID

Q: What is Theresa Balcerak's NPI number?

The NPI number for Theresa Balcerak is 1043258619. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Theresa Balcerak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Balcerak was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

Active since June 03, 2006

190 E BANNOCK ST, BOISE, ID 83712(208) 381-2222 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Theresa Balcerak Np NPPES

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

THERESA BALCERAK NP (NPI 1043258619) is an individual nurse practitioner in Boise, Idaho, licensed in Idaho (NP297A) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1043258619

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTHERESA BALCERAKCredential: NP

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222

Phone(208) 381-2222

Sole ProprietorNo

Enumeration DateJune 3, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1043258619 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 · NP297A

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.

190 E BANNOCK ST, Boise, ID 83712

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Other Providers at the Same Location NPPES 20

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

NORA M SUAREZ NP

Nurse Practitioner (Neonatal, Critical Care)