Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Billiesue Mayo, AGNP-BC

Individual provider Nurse Practitioner · NPI 1396245742

Billiesue Mayo, AGNP-BC is a Nurse Practitioner in Nampa, Idaho. Qualified in 2017, 9 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2018
Specialties on file
5
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Practice location Address checks out

1901 Caldwell Blvd
Nampa, ID 83651-1506
Phone: (208) 318-1619
Fax: (888) 280-0255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 57993 (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence 57993 (ID)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 57993 (ID)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 57993 (ID)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 57993 (ID)

Record details

NPI number1396245742
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-BC
Sole proprietorYes
NPI enumeratedFebruary 12, 2018
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Nampa