SENIOR DOC IDAHO PC
NPI 1750961637
Family Medicine in Nampa, ID

Active since April 13, 2021
4301 GARRITY BLVD STE 103, NAMPA, ID 83687(855) 434-7763(949) 281-5550 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2021, Apr 13, 2021 (2 updates tracked since 2021).

About Senior Doc Idaho Pc NPPES

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

SENIOR DOC IDAHO PC (NPI 1750961637) is a healthcare organization registered as a family medicine in Nampa, Idaho and active in the NPI registry since April 2021. The organization lists John Geiss, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1750961637
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSENIOR DOC IDAHO PC
Location Address4301 GARRITY BLVD STE 103Nampa, ID 83687-9222
Mailing Address5 Hutton Centre Dr Ste 950Santa Ana, CA 92707-8714 · (558) 434-7763
Fax(949) 281-5550
Organization SubpartNo
Authorized OfficialJohn GeissOwner/doctor · (855) 434-7763
Enumeration DateApril 13, 2021
Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1750961637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4301 GARRITY BLVD STE 103, Nampa, ID 83687

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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)

Senior Doc Idaho Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Senior Doc Idaho PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner20
Family Practice2
Hospitalist1
Neurology1

Nearest to this location (20)

See all 24
Nurse Practitioner
NPI 1265134985
4301 GARRITY BLVD STE 103
Nampa, ID 83687
(855) 434-7763
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538999461
4301 GARRITY BLVD STE 103
Nampa, ID 83687
(855) 434-7763
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356513519
3330 E LOUISE DR STE 400
Meridian, ID 83642
(208) 381-2721
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1598189821
8100 W EMERALD ST
Boise, ID 83704
(208) 863-6151
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1871249474
6140 W CURTISIAN AVE STE 300
Boise, ID 83704
(208) 302-0000
✔ PECOS13 mi
Nurse Practitioner
NPI 1245068691
1007 N 29TH ST
Boise, ID 83702
(415) 497-6420
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1336616994
10180 SE SUNNYSIDE RD
Clackamas, OR 97015
(503) 571-8740
✔ PECOS324 mi
Family Practice
NPI 1528095312
173 N 400 W STE C 11
Orem, UT 84057
(801) 802-7373
✔ PECOS✔ Accepts Medicare335 mi
Nurse Practitioner
NPI 1770317448
2702 HYDE ST
San Francisco, CA 94109
(669) 262-0602
✔ PECOS✔ Accepts Medicare505 mi
Neurology
NPI 1447612940
505 PARNASSUS AVE
San Francisco, CA 94143
(818) 648-6941
✔ PECOS✔ Accepts Medicare509 mi
Nurse Practitioner
NPI 1982393716
1161 E COVINA BLVD
Covina, CA 91724
(504) 451-7842
✔ PECOS✔ Accepts Medicare659 mi
Nurse Practitioner
NPI 1306340831
151 N KRAEMER BLVD STE 100
Placentia, CA 92870
(949) 209-1563
✔ PECOS✔ Accepts Medicare675 mi
Nurse Practitioner
NPI 1982311437
880 APOLLO ST STE 217
El Segundo, CA 90245
(855) 818-2218
✔ PECOS✔ Accepts Medicare676 mi
Nurse Practitioner
NPI 1790499218
2592 N SANTIAGO BLVD
Orange, CA 92867
(855) 919-9393
✔ PECOS✔ Accepts Medicare677 mi
Hospitalist
NPI 1932337136
2592 N SANTIAGO BLVD
Orange, CA 92867
(855) 434-7763
✔ PECOS✔ Accepts Medicare677 mi
Family Practice
NPI 1053651497
5 HUTTON CENTRE DR STE 950
Santa Ana, CA 92707
(855) 434-7763
✔ Accepts Medicare683 mi
Nurse Practitioner
NPI 1942353107
5 HUTTON CENTRE DR STE 950
Santa Ana, CA 92707
(855) 434-7763
✔ PECOS683 mi
Nurse Practitioner
NPI 1467729525
5 HUTTON CENTRE DR STE 950
Santa Ana, CA 92707
(855) 434-7763
✔ PECOS✔ Accepts Medicare683 mi
Nurse Practitioner
NPI 1356194005
35470 MARABELLA CT
Winchester, CA 92596
(951) 233-4596
✔ PECOS✔ Accepts Medicare690 mi
Nurse Practitioner
NPI 1972193217
219 1/2 MARGUERITE AVE
Corona Del Mar, CA 92625
(949) 209-1563
✔ PECOS✔ Accepts Medicare694 mi
See all 24 clinicians

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 Senior Doc Idaho PC's NPI number?

The NPI number for Senior Doc Idaho PC is 1750961637. It was assigned to this organization in the NPPES registry on April 13, 2021.

Where is Senior Doc Idaho PC located?

Senior Doc Idaho PC is located at 4301 Garrity Blvd Ste 103, Nampa, ID 83687. The listed phone number is (855) 434-7763.

What is Senior Doc Idaho PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Senior Doc Idaho PC enrolled in Medicare?

Yes. Senior Doc Idaho PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Senior Doc Idaho PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 4 Medicare specialties reassign their Medicare billing to Senior Doc Idaho PC. 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. The largest specialties are Nurse Practitioner (20), Family Practice (2) and Hospitalist (1). 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 Senior Doc Idaho PC accept?

Health plans from Moda Health Plan, Inc. list Senior Doc Idaho PC 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 Senior Doc Idaho PC was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.