MOUNTAIN STATE BREAST & GENERAL SURGERY PLLC
NPI 1720776164
Surgery in Boise, ID

Q: What is Mountain State Breast & General Surgery PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 25, 2023

1525 S OWYHEE ST, BOISE, ID 83705(714) 812-5711 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mountain State Breast & General Surgery Pllc NPPES

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

MOUNTAIN STATE BREAST & GENERAL SURGERY PLLC (NPI 1720776164) is a healthcare organization registered as a surgery in Boise, Idaho and active in the NPI registry since April 2023. The organization lists Rhiana S Menen, Owner, as its authorized official.

NPPES Registry Identity

NPI1720776164

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameMOUNTAIN STATE BREAST & GENERAL SURGERY PLLC

Location Address1525 S OWYHEE STBoise, ID 83705-6014

Mailing Address1525 S Owyhee StBoise, ID 83705-6014 · (208) 392-3354

Phone(714) 812-5711

Organization SubpartNo

Authorized OfficialRhiana S MenenOwner · (208) 392-3354

Enumeration DateApril 25, 2023

Last NPPES UpdateJanuary 18, 2024

NPPES CertifiedJanuary 18, 2024

✔ NPI 1720776164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1525 S OWYHEE ST, Boise, ID 83705

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain State Breast & General Surgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mountain State Breast & General Surgery PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Rhiana Menen, MD

Surgical Oncology

NPI 1427205160

1525 S OWYHEE ST
Boise, ID 83705

(208) 392-3354

✔ PECOS✔ Accepts MedicareSame address

Carrie Newton, M.S., D.O.

General Surgery

NPI 1902245764

1525 S OWYHEE ST
Boise, ID 83705

(208) 392-3354

✔ PECOS✔ Accepts MedicareSame address

Ashley Rose, FNP

Nurse Practitioner

NPI 1477198190

190 E BANNOCK ST
Boise, ID 83712

(208) 371-3155

✔ PECOS✔ Accepts Medicare2.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mountain State Breast & General Surgery PLLC's NPI number?

The NPI number for Mountain State Breast & General Surgery PLLC is 1720776164. It was assigned to this organization in the NPPES registry on April 25, 2023.

Where is Mountain State Breast & General Surgery PLLC located?

Mountain State Breast & General Surgery PLLC is located at 1525 S Owyhee St, Boise, ID 83705. The listed phone number is (714) 812-5711.

What is Mountain State Breast & General Surgery PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mountain State Breast & General Surgery PLLC enrolled in Medicare?

Yes. Mountain State Breast & General Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain State Breast & General Surgery PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mountain State Breast & General Surgery PLLC, in General Surgery, Nurse Practitioner and Surgical Oncology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountain State Breast & General Surgery PLLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Mountain State Breast & General Surgery PLLC 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.

When was this NPI record last updated?

The NPPES record for Mountain State Breast & General Surgery PLLC was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.