LAURA POLY PA
NPI 1386933513
Physician Assistant - Medical in Boise, ID

Q: What is Laura Poly's NPI number?

The NPI number for Laura Poly is 1386933513. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Q: What is Laura Poly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Laura Poly was last updated on February 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2011PECOS Enrolled

500 W FORT ST # 111, BOISE, ID 83702(208) 422-1325(208) 422-1319 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2022, May 14, 2021 (2 updates tracked since 2021).

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About Laura Poly Pa NPPES

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

LAURA POLY PA (NPI 1386933513) is an individual medical provider in Boise, Idaho, licensed in Idaho (PA-895) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386933513

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLAURA POLYCredential: PA

Location Address500 W FORT ST # 111Boise, ID 83702-4599

Mailing Address500 W Fort St # 111Boise, ID 83702-4599 · (208) 422-1325 · Fax (208) 422-1319

Phone(208) 422-1325

Fax(208) 422-1319

Sole ProprietorNo

Enumeration DateMarch 28, 2011

Last NPPES UpdateFebruary 25, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2022

✔ NPI 1386933513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · PA-895

500 W FORT ST # 111, Boise, ID 83702

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Poly Pa 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.