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MS. HEATHER ANN STAFFORD NP-C
NPI 1912416413
Nurse Practitioner - Adult Health in Boise, ID

Active since September 27, 2017PECOS Enrolled
500 W FORT ST, BOISE, ID 83702(208) 422-1000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Ms. Heather Ann Stafford Np-c NPPES

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

MS. HEATHER ANN STAFFORD NP-C (NPI 1912416413) is an individual adult health provider in Boise, Idaho, licensed in Idaho (66533) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Nampa, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912416413
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. HEATHER ANN STAFFORDCredential: NP-C
Location Address500 W FORT STBoise, ID 83702-4501
Mailing Address4433 E Switzer WayNampa, ID 83686-3014 · (208) 871-3212
Phone(208) 422-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 27, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1912416413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in ID · 66533
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 66533 (ID)
500 W FORT ST, Boise, ID 83702
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Heather Ann Grundhauser Np-c

Secondary Practice Location 1

Location 14433 E Switzer WayNampa, ID 83686-3014 · Phone (208) 871-3212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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)

Ms. Heather Ann Stafford Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456613413
PECOS Enrollment IDI20241216002957
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
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 20

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

JESSICA ANN BERNOTSKI RDH
Dental Hygienist
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
ROBERT FISHER
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1092
LUKE DANIEL HANSEN MD
Psychiatry & Neurology (Psychiatry)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
CHRISTOPHER M GUTIERREZ
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
DR. MICHAEL GLOVER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
500 W FORT ST, MAIL CODE #112
BOISE, ID 83702
Ada County (208) 422-1000
DR. ANN DECKER TROTTER PHD
Psychologist (Clinical)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
REBECCA COTTERELL RN-BC, BSN
Registered Nurse
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
PHILIP RESIN ELACKATT RN
Registered Nurse (Pain Management)
500 W FORT ST
BOISE, ID 83702
Ada County (986) 256-1766

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 Heather Stafford's NPI number?

The NPI number for Heather Stafford is 1912416413. It was assigned to this individual provider in the NPPES registry on September 27, 2017. The provider is also known as Ms. Heather Ann Grundhauser Np-C.

Where is Heather Stafford located?

Heather Stafford practices at 500 W Fort St, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Heather Stafford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Heather Stafford enrolled in Medicare?

Yes. Heather Stafford is registered in the Medicare PECOS enrollment system.

What insurance does Heather Stafford accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Heather Stafford 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 Heather Stafford was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.