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

Trevor Spence, NP-C

Individual provider Nurse Practitioner · NPI 1669063384

Trevor Spence, NP-C is a Nurse Practitioner in Boise, Idaho. Qualified in 2020, 6 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
6
Licensed in
CA, ID
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3301 N Sawgrass Way
Boise, ID 83704-4493
Phone: (208) 375-2658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 206 E Elm St, Caldwell, ID 83605-4815 — (208) 459-4511
  • 1210 Nw 16th St, Fruitland, ID 83619-2202 — (208) 459-4511
  • 3875 E Overland Rd Ste 106, Meridian, ID 83642-9005 — (208) 895-0888
  • 5373 W Milano Dr, Meridian, ID 83646-7603 — (208) 241-8887

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 53451 (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence 95016395 (CA)

Record details

NPI number1669063384
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJanuary 27, 2021
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address5373 W Milano Dr, Meridian, ID 83646-7603

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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