Doctor profile · Federal record
Dr. Mary Derlacki, FNP
Rheumatology Physician · Family Nurse Practitioner · Boise, ID
- NPI 1609947431
- 20 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2800 W Overland RD
Boise, ID 837053038
(208) 801-1414
fax (208) 207-2866 - Mailing address
-
1707 N 19Th St
Boise, ID 837020706
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- October 17, 2024
- Specialty taxonomy
- 207RR0500X — NUCC code
- State licenses (2)
- Oregon #090006104N1 · Idaho #69483
- Medicaid
- OR #005785
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1609947431. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$157
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Pharmaceuticals, Inc | 3 | $156.96 |
By nature of payment
Frequently asked questions
What is Dr. Mary Derlacki's medical specialty?
Dr. Mary Derlacki practices Rheumatology Physician in Boise, ID.
Where does Dr. Mary Derlacki practice?
Dr. Mary Derlacki practices at 2800 W Overland RD, Boise, ID 837053038. Office phone: 2088011414.
What is Dr. Mary Derlacki's NPI?
Dr. Mary Derlacki's National Provider Identifier (NPI) is 1609947431, issued by NPPES.