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ADVANCED SPECIALTY CARE FOR WOMEN
NPI 1255762506
Obstetrics & Gynecology in Nampa, ID

Active since December 11, 2013CLIA Certified · 2 labs
1611 12TH AVE RD, SUITE A, NAMPA, ID 83686(208) 468-9400(208) 468-9447 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Specialty Care For Women NPPES

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

ADVANCED SPECIALTY CARE FOR WOMEN (NPI 1255762506) is a healthcare organization registered as an obstetrics & gynecology in Nampa, Idaho and active in the NPI registry since December 2013. The organization holds 2 active CLIA laboratory certificates and lists Gary Ned Gregerson, President, as its authorized official.

NPPES Registry Identity

NPI1255762506
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameGARY GREGERSON, M.D., P.A.
Location Address1611 12TH AVE RD, SUITE ANampa, ID 83686-7715
Mailing Address1611 12th Ave Rd, Suite ANampa, ID 83686-7715 · (208) 468-9400 · Fax (208) 468-9447
Phone(208) 468-9400
Fax(208) 468-9447
Organization SubpartNo
Authorized OfficialGary Ned GregersonPresident · (208) 468-9400
Enumeration DateDecember 11, 2013
Last NPPES UpdateAugust 24, 2015
✔ NPI 1255762506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in ID · M-6312
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1611 12TH AVE RD, Nampa, ID 83686
Open in Google Maps ↗

Other Names 1

Doing Business AsAdvanced Specialty Care For Women

Other Identifiers 1

Medicaid1801834866ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D0951207

Advanced Specialty Care For Women · Nampa, ID
Active · expires Nov 7, 2026
CLIA Number13D0951207
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorGary N. Gregerson
Laboratory Phone(208) 468-9400
Laboratory LocationAdvanced Specialty Care For Women16111 N Brinson St Ste #110, Nampa, ID 83687
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2323368

Advanced Specialty Care · Nampa, ID
Active · expires May 5, 2027
CLIA Number13D2323368
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorGary N. Gregerson
Laboratory Phone(208) 331-4200
Laboratory LocationAdvanced Specialty Care215 E Hawaii Ave Ste 220, Nampa, ID 83686
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MS. BOBBI ANNETTE BULLOCK NURSE PRACTITIONER
Nurse Practitioner (Family)
1611 12TH AVE RD, SUITE A
NAMPA, ID 83686
Canyon County (208) 468-9400
DR. GARY NED GREGERSON M.D.
Specialist
1611 12TH AVE RD, SUITE A
NAMPA, ID 83686
Canyon County (208) 468-9400

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 Gary Gregerson, M.D., P.A.'s NPI number?

The NPI number for Gary Gregerson, M.D., P.A. is 1255762506. It was assigned to this organization in the NPPES registry on December 11, 2013. The provider is doing business as Advanced Specialty Care For Women.

Where is Gary Gregerson, M.D., P.A. located?

Gary Gregerson, M.D., P.A. is located at 1611 12th Ave Rd Suite A, Nampa, ID 83686. The listed phone number is (208) 468-9400.

What is Gary Gregerson, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Gary Gregerson, M.D., P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Gary Gregerson, M.D., P.A. accept?

Health plans from Moda Health Plan, Inc. list Gary Gregerson, M.D., P.A. 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 Gary Gregerson, M.D., P.A. was last updated on August 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.