MS. HEATHER ANN STAFFORD NP-C
NPI 1912416413
Nurse Practitioner - Adult Health in Boise, ID
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Heather Stafford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Meridian, ID 83642
- Reassigned Medicare billing, Idaho enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
BOISE, ID 83702
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.
Which organization bills Medicare for Heather Stafford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Stafford reassigns Medicare benefits to (Meridian, ID). The 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 Heather Stafford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Ms. Heather Ann Stafford, NP-C · NPI 1912416413
Adult Health physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since September 27, 2017.
## Identity
- **NPI:** 1912416413 (Entity type: Individual)
- **Enumerated:** September 27, 2017
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 66533 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 W FORT ST, Boise, ID 83702-4501
- **Phone:** (208) 422-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** (NPI 1083185235, Meridian, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1912416413) · Data from the CMS NPPES public registry.