LIVE WELL CPAP AND MEDICAL SUPPLY
NPI 1710528211
Durable Medical Equipment & Medical Supplies in Boise, ID

NPI Status: Active since October 05, 2019

Contact Information

11513 W FAIRVIEW AVE STE 106
BOISE, ID
ZIP 83713
Phone: (208) 971-2888

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Accepts Insurance
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About LIVE WELL CPAP AND MEDICAL SUPPLY

This page provides the complete NPI Profile along with additional information for Live Well Cpap And Medical Supply, a provider established in Boise, Idaho operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1710528211 assigned on October 2019. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Mark Eric Peterson Rpsgt (Owner)

NPI
1710528211
Provider Name
LIVE WELL CPAP AND MEDICAL SUPPLY
Entity Type
Organization
Location Address
11513 W FAIRVIEW AVE STE 106 BOISE, ID 83713
Location Phone
(208) 971-2888
Mailing Address
11513 W FAIRVIEW AVE STE 106 BOISE, ID 83713
Mailing Phone
(208) 971-2888
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2019
Last Update Date
04-15-2026
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Live Well Cpap And Medical Supply is a medicare supplier with PTAN 20418965 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Neuromuscular Elect Stimulators (NMES)/Supplies or Osteogenesis Stimulators or Ultraviolet Light Devices and/or Supplies or Orthoses: Off-The-Shelf or Neurostimulators and/or Supplies or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Ventilators Accessories and/or Supplies or Surgical Dressings.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARK ERIC PETERSON RPSGT

Authorized Official Title
OWNER
Authorized Official Phone
(208) 971-2888

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20418965
Accepts Medicare Assignment
NO
Specialities List
Medical Supply Company Other.
Provider Type List
OXYGEN & EQUIPMENT.
Competitive Bidding
NO

Supplies List

  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Neuromuscular Elect Stimulators (NMES)/Supplies - Electrodes, lead wires, adhesive tape
  • Osteogenesis Stimulators - Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators
  • Ultraviolet Light Devices and/or Supplies - Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Neurostimulators and/or Supplies - Rechargable neurostimulators, Non-rechargable neurostimulators
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Tracheotomy Supplies - Tracheostomy care kits
  • Urological Supplies - Catheters, Urinary collection devices
  • Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
  • Respiratory Assist Devices -
  • Ventilators Accessories and/or Supplies - Volume control ventilator, Pressure support ventilator
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710528211, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 5 → 10 → 1 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 1 + 0 + 2 + 1 + 6 + 2 + 2 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1710528211.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Optometrist
11513 W FAIRVIEW AVE STE 106
BOISE, ID 83713
Optometrist
11513 W FAIRVIEW AVE STE 106
BOISE, ID 83713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710528211, enumerated as an "organization" on October 05, 2019.

The provider is located at 11513 W FAIRVIEW AVE STE 106 BOISE, ID 83713 and the phone number is (208) 971-2888.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.