BROOKLYN MCNEIL GRANGE - NPI 1427730738 - Physician Assistant in Boise, ID

Q: What is Brooklyn Grange's NPI number?

The NPI number for Brooklyn Grange is 1427730738. It was assigned to this individual provider in the NPPES registry on August 4, 2023.

Q: What is Brooklyn Grange's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brooklyn Grange was last updated on November 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brooklyn Mcneil Grange NPPES

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

BROOKLYN MCNEIL GRANGE (NPI 1427730738) is an individual physician assistant in Boise, Idaho, licensed in Idaho (1427730738) and active in the NPI registry since August 2023. 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

NPI1427730738

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBROOKLYN MCNEIL GRANGE

Location Address8921 W HACKAMORE DRBoise, ID 83709-1673

Mailing Address8921 W Hackamore DrBoise, ID 83709-1673 · (208) 994-4123 · Fax (800) 431-6309

Phone(208) 994-4123

Fax(800) 431-6309

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 4, 2023

Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration

NPPES CertifiedNovember 24, 2025

✔ NPI 1427730738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ID · 1427730738

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

8921 W HACKAMORE DR, Boise, ID 83709

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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)

Brooklyn Mcneil Grange is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597241471

PECOS Enrollment IDI20260109003287

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.

Hospital Affiliations CMS Care Compare 2

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, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83709 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

A PROMISE OF HOPE, INC.

Hospice Care, Community Based

8921 W HACKAMORE DR, SUITE B
BOISE, ID 83709

Ada County (208) 377-4673

JESSICA ANN GARDNER

Physical Therapist