THIAGO ALBERTO (NP) – Nurse Practitioner, NPI 1023650512

THIAGO ALBERTO (NP) is a healthcare provider. based in Boise, Idaho. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 62877 (ID). The NPI Number for THIAGO ALBERTO (NP) is 1023650512

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
THIAGO ALBERTO (NP)
NPI
1023650512
Phone
(208) 378-8011
Address
11197 W FAIRVIEW AVE
Enumeration Date
16 October 2019
Last Update Date
13 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2084553545
Graduation Year
2019 (7 years ago)
PAC ID
9133552474
Group Practice PAC ID
3971544685
Professional Enrollment ID
I20191127001404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for THIAGO ALBERTO (NP)

  • 11197 W FAIRVIEW AVE

    BOISE, ID 837137935

    Phone: (208) 378-8011

    Type: Location

  • West Chinden Boulevard, Garden City, Ada County, Idaho, 83704, United States

    GARDEN CITY, ID 837141463

    Phone: (208) 809-2865

    Fax: (208) 809-2866

    Type: Location

  • Box Social, 3971, North Williams Avenue, Mississippi, Boise, Portland, Metro, Multnomah County, Oregon, 97227, United States

    BOISE, ID 837191050

    Phone: (208) 955-6500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 96 Open Payments records for all available years, with a total value of $1,790.

Total Amount is formed as General ($1,790) + Research ($0) + Ownership ($0) = $1,790.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($495).

Total Amount

$1,790

General + Research + Ownership

Payments

96

Total payment records

General Amount

$1,790

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes1818$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1815$0
81002Urinalysis, manual test1616$0
View full utilization report →

Insurance plans in this area (ZIP 83713)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971544685View full group profile

Reviews

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Frequently asked questions

What federal number belongs to THIAGO ALBERTO (NP)?
The federal identifier for THIAGO ALBERTO (NP) is NPI 1023650512.
Is THIAGO ALBERTO (NP)'s NPI currently valid?
The extract we use shows THIAGO ALBERTO (NP) as active.
What field does THIAGO ALBERTO (NP) work in?
You can think of THIAGO ALBERTO (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is THIAGO ALBERTO (NP)'s primary listing?
We display Boise, Idaho because that is what the record indicates for THIAGO ALBERTO (NP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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