MINDY LEROY DNP, PMHNP-BC, FNP-C
NPI 1437653284
Nurse Practitioner - Family in Boise, ID

Active since March 19, 2018Opted out of Medicare · through Jul 1, 2027
4401 N EAGLE RD STE 102, BOISE, ID 83713(208) 295-4417(866) 455-1021 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2023, Jul 9, 2020, May 6, 2020 and 3 more (6 updates tracked since 2018).

About Mindy Leroy Dnp, Pmhnp-bc, Fnp-c NPPES

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

MINDY LEROY DNP, PMHNP-BC, FNP-C (NPI 1437653284) is an individual family provider in Boise, Idaho, licensed in Oregon (200441592RN) and active in the NPI registry since March 2018. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1437653284
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMINDY LEROYCredential: DNP, PMHNP-BC, FNP-C
Location Address4401 N EAGLE RD STE 102Boise, ID 83713-4818
Mailing Address4401 N Eagle Rd Ste 102Boise, ID 83713-4818 · (208) 295-4417 · Fax (866) 455-1021
Fax(866) 455-1021
Sole ProprietorNo
Enumeration DateMarch 19, 2018
Last NPPES UpdateNovember 25, 20246 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
NPI 1437653284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 200441592RN
4401 N EAGLE RD STE 102, Boise, ID 83713

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mindy Leroy Dnp, Pmhnp-bc, Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Mindy Leroy's NPI number?

The NPI number for Mindy Leroy is 1437653284. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Mindy Leroy located?

Mindy Leroy practices at 4401 N Eagle Rd Ste 102, Boise, ID 83713. The listed phone number is (208) 295-4417.

What is Mindy Leroy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mindy Leroy enrolled in Medicare?

No. Mindy Leroy has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mindy Leroy was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.