Johnson Duncan
Individual provider Active NPI Nurse Practitioner · Boise, ID
NPI 1326798232 · NPPES record last updated Mar 24, 2022
Key facts
- NPI
- 1326798232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 71970 (ID)
- Practice address
- 1055 N Curtis Rd
Boise, ID 83706-1309 - Phone
- (504) 909-2520
- NPI assigned
- Mar 24, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Alphonsus Regional Medical Center Inc
Practice addresses (Care Compare)
10583 W Lake Hazel Rd
Boise, ID 83709-6326
Phone (208) 302-5900
10717 W State St
Star, ID 83669-6046
Phone (208) 302-6300
11035 Karcher Rd
Nampa, ID 83651-8200
Phone (208) 302-2100
1150 N Sister Catherine Way
Nampa, ID 83687-3133
Phone (208) 302-7000
215 E Hawaii Ave
Nampa, ID 83686-6011
3025 W Cherry LN
Meridian, ID 83642-8531
6022 W Emerald St
Boise, ID 83704-8855
Phone (208) 367-4603
6094 W Emerald St
Boise, ID 83704-8855
Phone (208) 302-1000
712 Aviation Way
Caldwell, ID 83605-1154
Phone (208) 302-1035
757 E Wythe Creek CT
Suite 100
Kuna, ID 83634-5006
Phone (208) 302-6500
Hospital & facility affiliations
- Saint Alphonsus Regional Medical Center
- Eagle Butte Indian Health Service Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220502001998 | ID | Practitioner - Nurse Practitioner | 2668869157 | Reassigns benefits to 2 organizations |
| I20260317004560 | TX | Practitioner - Nurse Practitioner | 2668869157 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Nurse Practitioner | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current |
Accepting new patients | |
| Saint Alphonsus Medical Center- Ontario Inc | Current |
Accepting new patients | |
| Saint Alphonsus Medical Center- Ontario Inc | Current |
Accepting new patients | |
| Eagle Butte Indian Health Service Hospital | Current |
Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current |
Accepting new patients |
Locations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000
3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342
215 E Hawaii Ave
Ste 170
Nampa, ID 83686
Phone (208) 302-6000
Interoperability endpoints
- jduncan1888284@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71970 | ID | Yes |
Addresses
Primary practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Mailing address
PO Box 226
Stanley, ID 83278-0226
Phone (504) 909-2520
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2022. 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.