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Mr. Michael Robert Nieraeth, PA

Surgical Physician Assistant in Boise, ID · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487904280

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Registry record

Entity type Individual (Type 1)
Name Mr. Michael Robert Nieraeth
Credential PA
Sex Male
Practice address 8854 W Emerald St Ste 102, Boise, ID, 83704
Phone (208) 323-4747
Fax (208) 323-4848
Enumeration date Sep 19, 2012
Last updated in NPPES Mar 25, 2019

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA-993 (ID) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier Type State Issuer
1487904280 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Michael Nieraeth's NPI record?
Cross-check NPI 1487904280 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1487904280 active?
Yes, as of the latest NPPES snapshot, NPI 1487904280 is active (record last updated 2019-03-25).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-25.