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

Stacia S Munn, MD

Individual provider Family Medicine Physician · NPI 1477586162

Stacia S Munn, MD is a Family Practice in Boise, Idaho. Graduated from Oregon Health Sciences University School of Medicine in 2006, 20 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
20
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
ID
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

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 367-6030
Fax: (208) 367-6123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 413 N Allumbaugh St Ste 101, Boise, ID 83704-9219 — (208) 323-1125

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-10171 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MR-0870 (ID)

Record details

NPI number1477586162
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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