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

Brennen Georgia Magagna

Individual provider Nurse Practitioner · NPI 1780474015

Brennen Georgia Magagna is a Nurse Practitioner in Boise, Idaho. Qualified in 2025, 1 year ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

6140 W Curtisian Ave Ste 102
Boise, ID 83704-0109
Phone: (208) 302-0000
Fax: (208) 302-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3171170 (ID)
Registered Nurse Taxonomy 163W00000X · Licence 47966 (ID)

Record details

NPI number1780474015
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 9, 2025
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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