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

Nicole Augusta Stivers, MD

Individual provider Emergency Medicine Physician · NPI 1558370254

Nicole Augusta Stivers, MD is a Family Practice in Boise, Idaho. Graduated from Tulane University School of Medicine in 2003, 23 years ago. Practices with Alliance Medical Group LLC, a 130-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Louisiana.

Years since qualifying
23
Trained at
Tulane University School of Medicine
Licensed in
ID, LA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8971 W Overland Rd
Boise, ID 83709-1651
Phone: (208) 378-4288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-14377 (ID)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 200121 (LA)

Record details

NPI number1558370254
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 5, 2006
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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