Mary Polleys McCulloch, NNP
Critical Care Neonatal Nurse Practitioner · Boise, ID
Mary Polleys McCulloch, NNP is a critical care neonatal nurse practitioner with a practice address in Boise, Idaho, and NPI 1275672396, issued on Feb 5, 2007. Check the license (Idaho 58268, as entered in NPPES) with the Idaho board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mary Polleys McCulloch
- Credential
- NNP
- Primary taxonomy
- Critical Care Neonatal Nurse Practitioner 363LN0005X
- License numbers
- 58268 ID
289606 AZ
2203014405 UT
Self-reported in NPPES; status is on the state search - Practice location
- 190 E Bannock St, Boise, ID 83712
- Phone
- (208) 381-2088
- Enumerated
- Feb 5, 2007
- Record last updated
- Apr 27, 2026
- Medicaid ID
- 176667 AZ
- Medicare enrollment
- Enrolled (PECOS I20251216002724); may accept Medicare assignment
- Entity
- Type 1 · individual
7 nearest critical care neonatal nurse practitioner records → All 8 in Idaho → Look up another NPI →
Also registered at 190 E Bannock St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Aaron Ackerson, ACNPC-AGAcute Care Nurse Practitioner1982329751
- Jarren Adam, DOEmergency Medicine Physician1295484699
- Sariah AdamsRegistered Nurse1801737978
- Grace Adamson, MDFamily Medicine Physician1497246136
- J Thomas Ahlquist, MDEmergency Medical Services (Emergency Medicine) Physician1598703902
- Dawn Aiken, NPFamily Nurse Practitioner1295175313
Verify Mary Polleys McCulloch in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license 58268Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Critical Care Neonatal Nurse Practitioner providers in Idaho
There are 8 critical care neonatal nurse practitioner records in Idaho. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 8 in Idaho → Every provider in Boise → Critical Care Neonatal Nurse Practitioner nationwide →
The 7 critical care neonatal nurse practitioner records with the nearest ZIP codes
- Megan Ashline, NNP-BCBoise, ID 837121922546647
- Courtney Candelaria, NPBoise, ID 837121083446462
- Linda Gasser, ARNPBoise, ID 837121871805390
- Jennifer Shepard, NNP-BCBoise, ID 837121114382207
- Nora Suarez, NPBoise, ID 837121003068677
- Julie Huau, NNP-BCBoise, ID 837061962975219
- Brindee Burchfield, NNPIdaho Falls, ID 834041396419529
Common questions
What is Mary Polleys McCulloch, NNP's NPI number?
Mary Polleys McCulloch, NNP's National Provider Identifier (NPI) is 1275672396, issued on Feb 5, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Mary Polleys McCulloch, NNP located?
The NPPES record lists a practice address at 190 E Bannock St, Boise, ID, 83712. Phone: (208) 381-2088. Providers update this record themselves, so call before visiting.
How can I verify Mary Polleys McCulloch, NNP's license?
NPPES lists Idaho license number 58268, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.