Individual provider Active NPI

Andrea Metzler, PA-C

  • Surgical Physician Assistant
  • Boise, ID
National Provider Identifier
1083013056
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10001711A Issued in IN
Practice address
7979 W Rifleman St
Boise, ID 83704
Phone
(208) 855-2410
Fax
(208) 855-0157
NPI assigned
Aug 15, 2014
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10001711A IN Primary
Orthopaedic Hand Surgery Physician 207XS0106X PA-1703 ID

Addresses

Primary practice location

7979 W Rifleman St
Boise, ID 83704

Mailing address

1718 E Holden LN
Boise, ID 83706-5042
Phone (773) 454-1600

Other practice location 1

275 W Bassett Rd
Shelbyville, IN 46176-8574
Phone (317) 392-2161

Other practice location 2

7979 W Rifleman St
Boise, ID 83704
Phone (208) 855-2410

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ametzler@alliedortho.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190807004187 ID Practitioner - Physician Assistant 3072732288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Direct Orthopedic Care LLCGroup PAC ID 2163648155, 32 clinicians
Allied Orthopaedics LLCGroup PAC ID 8325351638, 14 clinicians

Practice addresses (Care Compare)

16818 N Marketplace Blvd
Nampa, ID 83687-5140
Phone (208) 321-4000

1789 S Broadway Ave
Suite 100
Boise, ID 83706-3800
Phone (208) 321-4000

3015 E Magic View Dr
Suite 130
Meridian, ID 83642-3750

4842 N Cortona Way
Suite 105
Meridian, ID 83646-3171
Phone (208) 855-2410

7979 W Rifleman St
Boise, ID 83704-9066

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001711AINMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Orthopaedics LLC Hand Surgery CurrentSince Jun 1, 2019 Accepting new patients
Direct Orthopedic Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Allied Orthopaedics LLC Hand Surgery CurrentSince Jun 1, 2019 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7979 W Rifleman St
Boise, ID 83704
Phone (208) 321-4000

7979 W Rifleman St
Ste 100
Boise, ID 83704
Phone (208) 375-6133

7979 W Rifleman St
Ste 110
Boise, ID 83704
Phone (208) 321-4000

3015 E Magic View Dr
Ste 115
Meridian, ID 83642
Phone (208) 321-4000

3015 E Magic View Dr
Ste 130
Meridian, ID 83642
Phone (208) 482-5567

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1083013056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 E HOLDEN LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065042",
            "telephone_number": "773-454-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 W RIFLEMAN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-855-2410",
            "fax_number": "208-855-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 W Bassett Rd",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IN",
            "postal_code": "461768574",
            "country_code": "US",
            "telephone_number": "317-392-2161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7979 W Rifleman St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83704",
            "country_code": "US",
            "telephone_number": "208-855-2410",
            "fax_number": "208-855-0157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZLER",
        "first_name": "ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10001711A",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "ID",
            "license": "PA-1703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ametzler@alliedortho.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "7979 W Rifleman St",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "83704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.