Individual provider Active NPI

Misti Newson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Boise, ID
National Provider Identifier
1295400422
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP68968 Issued in ID
Practice address
8050 W Northview St
Boise, ID 83704-7126
Phone
(208) 327-0504
NPI assigned
Aug 10, 2021
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 61367 ID
Nurse Practitioner 363L00000X 202108825NP OR
Family Nurse Practitioner 363LF0000X 61367 ID
Family Nurse Practitioner 363LF0000X 202108825NP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61367 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP68968 ID Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202108825NP OR

Addresses

Primary practice location

8050 W Northview St
Boise, ID 83704-7126

Mailing address

11153 W Hickory Dale Dr
Boise, ID 83713-1027
Phone (208) 861-2968

Other practice location 1

2321 E Gala St Ste 3
Meridian, ID 83642-7692
Phone (208) 888-5848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 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
I20211115000026 ID Practitioner - Nurse Practitioner 9537558564 Reassigns benefits to 2 organizations
I20211115000040 OR Practitioner - Nurse Practitioner 9537558564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midvalley Healthcare PLLCGroup PAC ID 0749327880, 17 clinicians
Lifeways IncGroup PAC ID 4183696214, 17 clinicians

Practice addresses (Care Compare)

2321 E Gala St
Suite 3
Meridian, ID 83642-7692
Phone (208) 888-5848

702 Sunset Dr
Ontario, OR 97914-3121
Phone (541) 889-9167

8050 W Northview St
Boise, ID 83704-7126
Phone (208) 327-0504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP68968IDMDPsychiatric/Mental Health Nurse Practitioner
202108825NPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeways, Inc CurrentSince Sep 20, 2021 Accepting new patients
Lifeways, Inc CurrentSince Sep 20, 2021 Accepting new patients
Ability Health and Rehabilitation LLC Past Accepting new patients

Locations

8050 W Northview St
Boise, ID 83704
Phone (208) 327-0504

2609 S 10th Ave
Ste 102
Caldwell, ID 83605
Phone (208) 291-1020

702 Sunset Dr
Ontario, OR 97914
Phone (541) 823-9041

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.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1295400422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11153 W HICKORY DALE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131027",
            "telephone_number": "208-861-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 W NORTHVIEW ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047126",
            "telephone_number": "208-327-0504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2321 E Gala St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836427692",
            "country_code": "US",
            "telephone_number": "208-888-5848",
            "fax_number": "208-888-0884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSON",
        "first_name": "MISTI",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "61367",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202108825NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "61367",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202108825NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "61367",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "CNP68968",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202108825NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.