Active NPI
Tina Michelle Thorne, AGNP
- Adult Health Nurse Practitioner
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 60947
- Practice address
- 512 5TH Ave S
Nampa, ID 83651-4153 - Phone
- (208) 250-7653
- NPI assigned
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 60947 | ID | Primary |
| Nurse Practitioner | 363L00000X | 60947 | ID |
Addresses
Primary practice location
512 5TH Ave S
Nampa, ID 83651-4153
Mailing address
512 5TH Ave S
Nampa, ID 83651-4153
Phone (208) 250-7653
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221106000095 | ID | Practitioner - Nurse Practitioner | 8123495090 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dandg Medical Associates PLLCCommunity Health Clinics Inc
Practice addresses (Care Compare)
1430 W Ustick Rd
Suite 100
Meridian, ID 83646-7734
Phone (208) 286-8670
207 1St St S
Nampa, ID 83651-3703
Phone (208) 466-7869
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D&G Medical Associates PLLC | Current | Accepting new patients | |
| Community Health Clinics, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Community Health Clinics, Inc. | Current | Accepting new patients |
Locations
200 W Beech St
Caldwell, ID 83605
Phone (208) 459-3335
150 2nd St
Melba, ID 83641
Phone (208) 495-1011
1430 W Ustick Rd
Ste 100
Meridian, ID 83646
46 N Midland Blvd
Nampa, ID 83651
Phone (208) 446-7803
207 1st St S
Nampa, ID 83651
Phone (208) 318-1376
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HCBGBD
Organizations & group practices 18
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.
-
- Federally Qualified Health Center (FQHC)
- Boise, ID
- NPI 1346254026
-
- Federally Qualified Health Center (FQHC)
- Boise, ID
- NPI 1952756884
Nurse Practitioner
-
- Federally Qualified Health Center (FQHC)
- Caldwell, ID
- NPI 1043230501
-
- Federally Qualified Health Center (FQHC)
- Nampa, ID
- NPI 1134527708
-
- Federally Qualified Health Center (FQHC)
- Meridian, ID
- NPI 1215941083
-
- Federally Qualified Health Center (FQHC)
- Caldwell, ID
- NPI 1326542705
-
- Federally Qualified Health Center (FQHC)
- Homedale, ID
- NPI 1386757235
-
- Federally Qualified Health Center (FQHC)
- Melba, ID
- NPI 1578574521
-
- Federally Qualified Health Center (FQHC)
- Boise, ID
- NPI 1588678361
-
- Substance Abuse Rehabilitation Facility
- Boise, ID
- NPI 1598097263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1063970168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 5TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836514153",
"telephone_number": "208-250-7653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 5TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836514153",
"telephone_number": "208-250-7653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNE",
"first_name": "TINA",
"middle_name": "MICHELLE",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "ID",
"license": "60947",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "60947",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.