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

Mariah Ollive, PA-C

Individual provider Physician Assistant · NPI 1467134866

Mariah Ollive, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2023, 3 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group and works from 2 locations. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6165 W Emerald St
Boise, ID 83704-8613
Phone: (208) 302-3900
Fax: (208) 302-3955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3 Crest Rd, Saint Albans, VT 05478-9753 — (802) 524-4554

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1871560 (ID)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1467134866
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 4, 2023
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 specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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