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

Mark Thomas Pyburn, NP

Individual provider Nurse Practitioner · NPI 1871206789

Mark Thomas Pyburn, NP is a Nurse Practitioner in Meridian, Idaho. Qualified in 2022, 4 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

867 S Vanguard Way
Meridian, ID 83642-7552
Phone: (208) 302-7950
Fax: (208) 302-7955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8971 W Overland Rd, Boise, ID 83709-1651 — (208) 378-4288

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 74921 (ID)

Record details

NPI number1871206789
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 5, 2023
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing addressPo Box 190930, Boise, ID 83719-0930

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Meridian