SAMANTHA TULLY NP
NPI 1265320105
Nurse Practitioner - Family in Boise, ID
About Samantha Tully Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA TULLY NP (NPI 1265320105) is an individual family provider in Boise, Idaho, licensed in Idaho (5671261) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Tully Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Regional Medical Center
Acute Care Hospitals · Boise, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOISE, ID 83712
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 Samantha Tully's NPI number?
The NPI number for Samantha Tully is 1265320105. It was assigned to this individual provider in the NPPES registry on June 27, 2025.
Where is Samantha Tully located?
Samantha Tully practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2222.
What is Samantha Tully's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Tully enrolled in Medicare?
Yes. Samantha Tully is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Samantha Tully accept?
Health plans from Providence Health Plan list Samantha Tully 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.
Is Samantha Tully affiliated with any hospitals?
According to CMS data, Samantha Tully is affiliated with St Luke's Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Samantha Tully was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Samantha Tully, NP · NPI 1265320105
Family physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since June 27, 2025.
## Identity
- **NPI:** 1265320105 (Entity type: Individual)
- **Enumerated:** June 27, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5671261 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 190 E BANNOCK ST, Boise, ID 83712-6241
- **Phone:** (208) 381-2222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265320105) · Data from the CMS NPPES public registry.