Individual provider Active NPI

Christopher R Counsil, NP

  • Nurse Practitioner
  • Boise, ID
National Provider Identifier
1154823433
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
58035 Issued in ID
Practice address
6651 W Franklin Rd
Boise, ID 83709-0914
Phone
(208) 825-3007
NPI assigned
Mar 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 58035 ID Primary

Addresses

Primary practice location

6651 W Franklin Rd
Boise, ID 83709-0914

Mailing address

648 S Woodhaven Ave
Meridian, ID 83642-3538
Phone (208) 440-3838

Other practice location 1

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222 ext. 3626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180711003418 OR Practitioner - Nurse Practitioner 5092061630 Reassigns benefits to 4 organizations
I20210521002351 ID Practitioner - Nurse Practitioner 5092061630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians

Practice addresses (Care Compare)

610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400

Hospital & facility affiliations

  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
64.68
Promoting interoperability
100
Improvement activities
40
Cost
47.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
58035IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group PC Current Accepting new patients
Good Shepherd Health Care System CurrentSince Apr 21, 2025 Accepting new patients
Vibra Physicians LLC CurrentSince Apr 1, 2021 Accepting new patients
Apogee Medical Group PC CurrentSince Jun 13, 2018 Accepting new patients
Columbia Lutheran Charities Current Accepting new patients
Apogee Medical Group PC CurrentSince Jun 13, 2018 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

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

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

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

Organizations & group practices 8

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 1

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": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1154823433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 S WOODHAVEN AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423538",
            "telephone_number": "208-440-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090914",
            "telephone_number": "208-825-3007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 E Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837126241",
            "country_code": "US",
            "telephone_number": "208-381-2222 x3626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUNSIL",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "58035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.