DR. TERESA MARIE NUFER MD, PHD
NPI 1114667946
Student in an Organized Health Care Education/Training Program in Boise, ID

Active since March 30, 2022PECOS Enrolled
500 W FORT ST, BOISE, ID 83702(208) 422-1165 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Teresa Marie Nufer Md, Phd NPPES

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

DR. TERESA MARIE NUFER MD, PHD (NPI 1114667946) is an individual student in an organized health care education/training program in Boise, Idaho and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114667946
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. TERESA MARIE NUFERCredential: MD, PHD
Location Address500 W FORT STBoise, ID 83702-4501
Mailing Address500 W Fort StBoise, ID 83702-4501 · (208) 422-1165
Sole ProprietorNo
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1114667946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

500 W FORT ST, Boise, ID 83702

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Teresa Marie Nufer Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Pharmacist (Pharmacotherapy)
500 W FORT ST
BOISE, ID 83702
Pharmacist
500 W FORT ST
BOISE, ID 83702
Clinical Neuropsychologist
500 W FORT ST, VA MEDICAL CENTER
BOISE, ID 83702
Dentist
500 W FORT ST
BOISE, ID 83702
Audiologist
500 W FORT ST
BOISE, ID 83702
Speech-Language Pathologist
500 W FORT ST
BOISE, ID 83702
Pharmacist
500 W FORT ST
BOISE, ID 83702
Pharmacist
500 W FORT ST
BOISE, ID 83702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114667946, enumerated as an "individual" on March 30, 2022.

The provider is located at 500 W FORT ST BOISE, ID 83702 and the phone number is (208) 422-1165.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.