| Nexus Wound Consultants Llc | |
|
1555 W Shoreline Dr Ste 100 Boise ID 83702-9107 | |
| (830) 285-8882 | |
| (830) 365-8018 |
| Full Name | Nexus Wound Consultants Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1555 W Shoreline Dr Ste 100, Boise, Idaho |
| Authorized Official Name and Position | Zachary Giebler (SVP OF OPERATIONS) |
| Authorized Official Contact | 6122279226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nexus Wound Consultants Llc Po Box 29650 Phoenix AZ 85038-9650 Ph: (830) 285-8882 | Nexus Wound Consultants Llc 1555 W Shoreline Dr Ste 100 Boise ID 83702-9107 Ph: (830) 285-8882 |
| NPI Number | 1740034297 |
|---|---|
| Provider Enumeration Date | 04/12/2024 |
| Last Update Date | 03/13/2025 |
| Medicare PECOS PAC ID | 6002258456 |
|---|---|
| Medicare Enrollment ID | O20240530001909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740034297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Travis Frogley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518508928 PECOS PAC ID: 9335560705 Enrollment ID: I20200611000640 |
| Provider Name | Jessica L Ahlers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528661154 PECOS PAC ID: 2860804101 Enrollment ID: I20201210001720 |
| Provider Name | Samuel Jurca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962069203 PECOS PAC ID: 7911237482 Enrollment ID: I20240530002111 |
| Provider Name | Stacey Raybuck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720020076 PECOS PAC ID: 0941230858 Enrollment ID: I20241108002814 |
| Provider Name | Brenda Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376997130 PECOS PAC ID: 5799078408 Enrollment ID: I20250220002106 |
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