Justin Armstrong
Individual provider Active NPI Nurse Practitioner · Boise, ID
NPI 1023767910 · NPPES record last updated Jun 20, 2022
Key facts
- NPI
- 1023767910
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 58505 (ID)
- Practice address
- 701 E Parkcenter Blvd
Boise, ID 83706-6528 - Phone
- (208) 381-6500
- NPI assigned
- Mar 20, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes Clinic-Treasure Valley LLC
Practice addresses (Care Compare)
701 E Parkcenter Blvd
Boise, ID 83706-6528
Phone (208) 381-6500
Hospital & facility affiliations
- St Luke'S Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 81.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.37
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220801000827 | ID | Practitioner - Nurse Practitioner | 5092197517 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58505 | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Current |
Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Current |
Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
701 E Parkcenter Blvd
Boise, ID 83706
Phone (208) 381-6400
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
3101 E State St
Ste 1100
Eagle, ID 83616
Phone (208) 473-3500
1210 NW 16th St
Fruitland, ID 83619
Phone (208) 452-8600
840 N 4th E
Mountain Home, ID 83647
Phone (208) 587-1850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 58505 | ID | |
| Nurse Practitioner | 363L00000X | 58505 | ID | Yes |
Addresses
Primary practice location
701 E Parkcenter Blvd
Boise, ID 83706-6528
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Phone (120) 838-1874
Other practice location 1
190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | armstjus@slhs.org | Health Information Exchange (HIE) |
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.