Duke M Nyarecha, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

59040 Issued in ID

Practice address

9850 W St Lukes Dr Ste 320
Nampa, ID 83687-7912

Phone

(208) 505-2222

NPI assigned

Jul 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.95 of 100Reported as group

Quality

67.72

Promoting interoperability

98

Improvement activities

40

Cost

63.78

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

Practice roles

Locations

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.

• Dumu Psychiatry LLC

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1790302594
  Medicare reassignment NPD Authorized official
• Rock Bottom Recovery and Treatment Services PLLC

  dba rock bottom recovery services pllc

  • Substance Abuse Rehabilitation Facility
  • Boise, ID
  • NPI 1598553836
  Medicare reassignment NPD Authorized official
• Dwyer & Harrington, PLLC

  dba Omega Mental Health

  • Nurse Practitioner
  • Boise, ID
  • NPI 1568589596
  Medicare reassignment NPD
• Golden Angel Residential Assisted Living

  dba Golden Angels

  • Assisted Living Facility (Mental Illness)
  • Meridian, ID
  • NPI 1730823816
  NPD Authorized official
• Jemericus LLC

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1073123220
  NPD
• St Lukes Clinic-Treasure Valley LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1326336058
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1235625914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 W ST LUKES DR STE 320",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836877912",
            "telephone_number": "208-505-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 1st St S",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "83651",
            "country_code": "US",
            "telephone_number": "208-466-7869",
            "fax_number": "208-466-5359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYARECHA",
        "first_name": "DUKE",
        "middle_name": "M",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "59040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NS Downtown PLLC
• NS North, PLLC
• NS South
• Carolyn Ann Nugent, NURSE PRACTIONER
• Daniel Nuzum
• Diserthe Nyirangabire
• Suzanne Marie O'Hagan, M.S. CCC-SLP
• Maureen Kay O'Leary, LCSW
• Russell O'Leary, LCSW
• Rusty O'Leary

• Psychiatric/Mental Health Nurse Practitioner in Nampa, ID
• Providers in Nampa, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.

Verify at the official NPI Registry.