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EVOLVE OBGYN, PLLC
NPI 1306737580
Obstetrics & Gynecology in Boise, ID

Active since July 14, 2025CLIA 13D2336400 · Microscopy
300 E BANNOCK ST, BOISE, ID 83712(208) 261-1380(855) 538-6050 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2025, Nov 7, 2025, Aug 4, 2025 (3 updates tracked since 2025).

About Evolve Obgyn, Pllc NPPES

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

EVOLVE OBGYN, PLLC (NPI 1306737580), doing business as Evolve Obgyn, is a healthcare organization registered as an obstetrics & gynecology in Boise, Idaho and active in the NPI registry since July 2025. The organization holds a CLIA Microscopy certificate valid through January 1, 2028 and lists Brea L Shrum, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1306737580
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameEVOLVE OBGYN, PLLC
Location Address300 E BANNOCK STBoise, ID 83712-6207
Mailing Address300 E Bannock StBoise, ID 83712-6207 · (208) 261-1380 · Fax (855) 538-6050
Phone(208) 261-1380
Fax(855) 538-6050
Organization SubpartNo
Authorized OfficialBrea L ShrumPhysician/owner · (208) 261-1380
Enumeration DateJuly 14, 2025
Last NPPES UpdateNovember 20, 20253 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1306737580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
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.
300 E BANNOCK ST, Boise, ID 83712
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Other Names 1

Doing Business AsEvolve Obgyn

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evolve Obgyn, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Evolve Obgyn, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Brea Shrum, MD
Obstetrics/Gynecology
NPI 1821161548
300 E BANNOCK ST
Boise, ID 83712
(208) 261-1380
✔ PECOSSame address
Staci Thomas, WHNP-BC
Nurse Practitioner
NPI 1013739838
100 E IDAHO ST STE 302
Boise, ID 83712
(208) 343-7501
✔ PECOS0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 13D2336400

Evolve Obgyn · Boise, ID
Active · expires Jan 1, 2028
CLIA Number13D2336400
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2026
Certificate Expiration DateJanuary 1, 2028
Laboratory DirectorBrea L. Shrum
Laboratory Phone(208) 261-1380
Laboratory LocationEvolve Obgyn300 E Bannock, Boise, ID 83712
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Evolve Obgyn, PLLC's NPI number?

The NPI number for Evolve Obgyn, PLLC is 1306737580. It was assigned to this organization in the NPPES registry on July 14, 2025. The provider is doing business as Evolve OBGYN.

Where is Evolve Obgyn, PLLC located?

Evolve Obgyn, PLLC is located at 300 E Bannock St, Boise, ID 83712. The listed phone number is (208) 261-1380.

What is Evolve Obgyn, PLLC's specialty?

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

Is Evolve Obgyn, PLLC enrolled in Medicare?

Yes. Evolve Obgyn, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evolve Obgyn, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Evolve Obgyn, PLLC, in Nurse Practitioner and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Evolve Obgyn, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D2336400) is associated with this NPI, valid through January 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evolve Obgyn, PLLC was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.