MARIAH OLLIVE PA-C
NPI 1467134866
Physician Assistant in Boise, ID

Active since August 04, 2023PECOS Enrolled
6165 W EMERALD ST, BOISE, ID 83704(208) 302-3900(208) 302-3955 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mariah Ollive Pa-c NPPES

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

MARIAH OLLIVE PA-C (NPI 1467134866) is an individual physician assistant in Boise, Idaho, licensed in Idaho (1871560) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medical Center Inc, and maintains a secondary practice location in Saint Albans.

NPPES Registry Identity

NPI1467134866
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIAH OLLIVECredential: PA-C
Location Address6165 W EMERALD STBoise, ID 83704-8613
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 302-9342 · Fax (208) 367-5180
Fax(208) 302-3955
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 4, 2023
Last NPPES UpdateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
NPI 1467134866 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 · 1871560
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.

6165 W EMERALD ST, Boise, ID 83704

Secondary Practice Location 1

Location 13 Crest RdSaint Albans, VT 05478-9753 · Phone (802) 524-4554

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 (PECOS)

Mariah Ollive Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214385780
PECOS Enrollment IDI20250917004227
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

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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 17

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

Nurse Practitioner
6165 W EMERALD ST
BOISE, ID 83704
Specialist/Technologist (Athletic Trainer)
6165 W EMERALD ST
BOISE, ID 83704
Physician Assistant (Medical)
6165 W EMERALD ST
BOISE, ID 83704
Orthopaedic Surgery
6165 W EMERALD ST
BOISE, ID 83704
Durable Medical Equipment & Medical Supplies
6165 W EMERALD ST
BOISE, ID 83704
Specialist/Technologist (Athletic Trainer)
6165 W EMERALD ST
BOISE, ID 83704
Orthopaedic Surgery
6165 W EMERALD ST
BOISE, ID 83704
Physician Assistant
6165 W EMERALD ST
BOISE, ID 83704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467134866, enumerated as an "individual" on August 04, 2023.

The provider is located at 6165 W EMERALD ST BOISE, ID 83704 and the phone number is (208) 302-3900.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.

Mariah Ollive is affiliated with: NORTHWESTERN MEDICAL CENTER INC.