MR. MICHAEL ROBERT NIERAETH PA
NPI 1487904280
Physician Assistant - Surgical in Boise, ID

Q: What is Michael Nieraeth's NPI number?

The NPI number for Michael Nieraeth is 1487904280. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Q: What is Michael Nieraeth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Michael Nieraeth was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since September 19, 2012PECOS EnrolledAccepts Medicare Assignment

8854 W EMERALD ST STE 102, BOISE, ID 83704(208) 323-4747(208) 323-4848 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Michael Robert Nieraeth Pa NPPES

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

MR. MICHAEL ROBERT NIERAETH PA (NPI 1487904280) is an individual surgical provider in Boise, Idaho, licensed in Idaho (PA-993) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Lewiston.

NPPES Registry Identity

NPI1487904280

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. MICHAEL ROBERT NIERAETHCredential: PA

Location Address8854 W EMERALD ST STE 102Boise, ID 83704

Mailing Address8854 W Emerald St Ste 102Boise, ID 83704-4845 · (208) 323-4747 · Fax (208) 323-4848

Phone(208) 323-4747

Fax(208) 323-4848

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 19, 2012

Last NPPES UpdateMarch 25, 2019

✔ NPI 1487904280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AS0400X

License✔ Licensed in ID · PA-993

8854 W EMERALD ST STE 102, Boise, ID 83704

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Secondary Practice Location 1

Location 1320 Warner DrLewiston, ID 83501-4441 · Phone (208) 743-3523 · Fax (208) 746-8741

Other Identifiers 1

Medicaid1487904280ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Robert Nieraeth Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133372501

PECOS Enrollment IDI20130123000158

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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

390 services38 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

108 services79 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

79 services58 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

67 services67 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

65 services49 patients

Anchoring of biceps tendon 23430

Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.

46 services44 patients

Hospital Affiliations CMS Care Compare 4

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

Treasure Valley Hospital

Acute Care Hospitals · Boise, ID

OwnershipProprietary

CMS Certification Number130063

Location8800 West Emerald StreetBoise, ID 83704 · Ada County

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131323

Location100 Hospital DriveKetchum, ID 83340 · Blaine County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

JOSEPH RANDALL LYNCH MD

Orthopaedic Surgery

8854 W EMERALD ST STE 102
BOISE, ID 83704

Ada County (208) 323-4747

MR. JEFFREY J. GRIGGS PA

Physician Assistant (Surgical)

8854 W EMERALD ST STE 102
BOISE, ID 83704

Ada County (208) 323-4747

DR. JARED S JOHNSON MD

Orthopaedic Surgery

8854 W EMERALD ST STE 102
BOISE, ID 83704

Ada County (208) 323-4747

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 Michael Nieraeth's NPI number?

The NPI number for Michael Nieraeth is 1487904280. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Where is Michael Nieraeth located?

Michael Nieraeth practices at 8854 W Emerald St Ste 102, Boise, ID 83704. The listed phone number is (208) 323-4747.

What is Michael Nieraeth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michael Nieraeth enrolled in Medicare?

Yes. Michael Nieraeth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Nieraeth accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Michael Nieraeth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Nieraeth affiliated with any hospitals?

According to CMS data, Michael Nieraeth is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center, Treasure Valley Hospital and St Luke's Wood River Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Nieraeth was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.