Individual provider Active NPI

Dean Bigelow, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Caldwell, ID
National Provider Identifier
1245072594
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10018469 Issued in OR
Practice address
13260 Hollow Rd
Caldwell, ID 83607-7526
Phone
(503) 341-0003
NPI assigned
Jun 8, 2024
Last updated
Jun 8, 2024By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10018469 OR Primary

Addresses

Primary practice location

13260 Hollow Rd
Caldwell, ID 83607-7526

Mailing address

13260 Hollow Rd
Caldwell, ID 83607-7526
Phone (503) 341-0003

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
I20240904000384 ID Practitioner - Nurse Practitioner 6800336991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meridian Advanced Psychiatry , LLCGroup PAC ID 8628490711, 25 clinicians

Practice addresses (Care Compare)

1672 S Woodsage Ave
Suite 120
Meridian, ID 83642-7670
Phone (208) 515-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10018469ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Advanced Psychiatry , LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

211 E Logan St
Ste 301
Caldwell, ID 83605

1672 S Woodsage Ave
Ste 120
Meridian, ID 83642
Phone (208) 515-2273

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1245072594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13260 HOLLOW RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836077526",
            "telephone_number": "503-341-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13260 HOLLOW RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836077526",
            "telephone_number": "503-341-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGELOW",
        "first_name": "DEAN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10018469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.