Individual provider Active NPI

Christina Marie Freston, DO

  • Family Medicine Physician
  • Meridian, ID
National Provider Identifier
1003170176
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-1330 Issued in ID
Practice address
1552 N Crestmont Dr Ste B
Meridian, ID 83642-2193
Phone
(208) 985-2260
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2536 ME
Family Medicine Physician 207Q00000X O-1330 ID Primary

Addresses

Primary practice location

1552 N Crestmont Dr Ste B
Meridian, ID 83642-2193

Mailing address

1552 N Crestmont Dr Ste B
Meridian, ID 83642-2193
Phone (208) 985-2260

Other practice location 1

1552 N Crestmont Dr Ste B
Meridian, ID 83642-2193
Phone (208) 985-2260

Other practice location 2

1560 N Crestmont Dr Ste A
Meridian, ID 83642-2178
Phone (208) 650-4888

Other identifiers 1

IdentifierTypeStateIssuer
E400232990OtherMEMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200317001020 ID Practitioner - Family Practice 5597919597 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians
Vibra Physicians LLCGroup PAC ID 8921233933, 30 clinicians

Practice addresses (Care Compare)

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

6651 W Franklin Rd
Boise, ID 83709-0914
Phone (208) 825-3007

9580 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2711

9850 St Lukes Dr
Nampa, ID 83687-7912

9850 W St Luke'S Dr
Nampa, ID 83687-7912

Hospital & facility affiliations

  • St Luke'S Nampa Medical Center Hospital, Nampa, ID, CCN 130071
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Vibra Hospital of Boise Long-term care hospital, Boise, ID, CCN 132002

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO2536MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Heights Family Clinic LLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Vibra Physicians LLC CurrentSince Mar 1, 2020 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Apr 1, 2020 Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

6651 W Franklin Rd
Boise, ID 83709
Phone (208) 323-0031

1560 N Crestmont Dr
Ste A
Meridian, ID 83642
Phone (208) 650-4888

1552 N Crestmont Dr
Ste B
Meridian, ID 83642

2131 S Bonito Way
Meridian, ID 83642
Phone (208) 202-4700

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

Interoperability endpoints

  • Direct secure messaging: cfreston@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1003170176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 N CRESTMONT DR STE B",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422193",
            "telephone_number": "208-985-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 N CRESTMONT DR STE B",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422193",
            "telephone_number": "208-985-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1552 N Crestmont Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836422193",
            "country_code": "US",
            "telephone_number": "208-985-2260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1560 N Crestmont Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836422178",
            "country_code": "US",
            "telephone_number": "208-650-4888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRESTON",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO2536",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-1330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "E400232990",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.