MIRIAH JEAN GRAYBILL – Family Nurse Practitioner, NPI 1831973064

MIRIAH JEAN GRAYBILL is a healthcare provider. based in Shoshone, Idaho. specializing in NURSE PRACTITIONER. They hold a License No. 77319 (ID). The NPI Number for MIRIAH JEAN GRAYBILL is 1831973064

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MIRIAH JEAN GRAYBILL
NPI
1831973064
Phone
(208) 421-3780
Address
250 E Highway 26
Enumeration Date
21 August 2023
Last Update Date
26 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
20854291111026
Graduation Year
2023 (3 years ago)
PAC ID
0244687556
Group Practice PAC ID
2264773373
Professional Enrollment ID
I20231108001650
Address ID
ID834015285ID740XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for MIRIAH JEAN GRAYBILL

  • 250 E Highway 26

    Shoshone, ID 833525306

    Phone: (208) 421-3780

    Type: Location

  • 801 Pole Line Rd W

    Twin Falls, ID 833015810

    Phone: (208) 814-1000

    Type: Location

  • 190 E BANNOCK ST

    BOISE, ID 837126241

    Phone:

    Type: Mailing

  • 625 POLE LINE RD W STE 2A

    TWIN FALLS, ID 833014270

    Phone: (208) 814-8600

    Fax: (208) 814-8942

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Grifols USA, LLC ($129).

Total Amount

$129

General + Research + Ownership

Payments

1

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Grifols USA, LLC$129
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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231108001650INurse PractitionerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83352)

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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: 2264773373View full group profile
NameSpecialtyState
Nurse PractitionerWY
Physician AssistantID
Physician AssistantNV
Nurse PractitionerID
Physician AssistantCT
Nurse PractitionerID
-ID
Physician AssistantFL
Physician AssistantID
Physician AssistantID

Reviews

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Frequently asked questions

Can I cross-check MIRIAH JEAN GRAYBILL using NPI 1831973064?
NPI 1831973064 belongs to MIRIAH JEAN GRAYBILL; compare other details if you need extra assurance.
Is MIRIAH JEAN GRAYBILL shown as active in public data?
Registry records indicate MIRIAH JEAN GRAYBILL maintains an active NPI.
What expertise is attributed to MIRIAH JEAN GRAYBILL?
MIRIAH JEAN GRAYBILL's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MIRIAH JEAN GRAYBILL?
Directory geography for MIRIAH JEAN GRAYBILL centers on Shoshone, Idaho.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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