Nichole Aker, DO
Individual provider Active NPI Family Medicine Physician · Boise, ID
NPI 1235583733 · NPPES record last updated Jun 26, 2021
Key facts
- NPI
- 1235583733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- O-1315 (ID)
- Practice address
- 325 W Idaho St
Boise, ID 83702-6040 - Phone
- (208) 514-2525
- Fax
- (208) 375-2217
- NPI assigned
- Apr 20, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- College of Osteo Med of the Pacific at Pomona, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Lukes Clinic-Treasure Valley LLC
Practice addresses (Care Compare)
2083 E Hospitality LN
Boise, ID 83716-6603
Phone (208) 333-8345
608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
Hospital & facility affiliations
- St Luke'S Regional Medical Center
- St Luke'S Elmore Medical Center
- St Luke'S Nampa Medical Center
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210701002184 | ID | Practitioner - Family Practice | 2769730266 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current |
Accepting new patients |
| Full Circle Health, Inc. | Current |
Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current |
Accepting new patients |
| St Lukes Regional Medical Center | Past |
Accepting new patients |
Locations
325 W Idaho St
Boise, ID 83702
Phone (208) 514-2525
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
2083 E Hospitality Ln
Boise, ID 83716
Phone (208) 333-8345
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030
895 N 6th E
Mtn Home, ID 83647
Phone (208) 580-2661
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MRO-1742 | ID | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | O-1315 | ID | Yes |
Addresses
Primary practice location
325 W Idaho St
Boise, ID 83702-6040
Mailing address
777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500
Other practice location 1
777 N Raymond St
Boise, ID 83704
Phone (208) 514-2500
Other providers in Boise, ID
- Dawn Lynn Aiken
- Georgianna T Ainslie
- Brittany Louise Aitchison
- Bryce Aitken
- Mari Jessica Aitken
- Zahkaria Garang Akol
- Pat Aksamit
- Shwan Al Jaf
- Israa Al Rubaye
- Ranya Al Saedi
All providers in Boise, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2021. 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.