Active NPI
Monica Vernon, PA
- Physician Assistant
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-1412
- Practice address
- 11035 Karcher Rd
Nampa, ID 83651 - Phone
- (208) 302-6600
- Fax
- (208) 302-6655
- NPI assigned
- Sep 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-1412 | ID | Primary |
Addresses
Primary practice location
11035 Karcher Rd
Nampa, ID 83651
Mailing address
910 NW 16TH St
Fruitland, ID 83619-2265
Phone (208) 302-6600
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161026002764 | ID | Practitioner - Physician Assistant | 6608154653 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jonathan Barrus DO PCSaint Alphonsus Regional Medical Center Inc
Practice addresses (Care Compare)
2020 S Johns Ave
Suite B
Emmett, ID 83617-9410
Phone (208) 369-4340
2310 Gem Ave
Emmett, ID 83617-9625
3025 W Cherry LN
Meridian, ID 83642-8531
867 S Vanguard Way
Meridian, ID 83642-7552
Phone (208) 302-7950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-1412 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Hospital Medicine Associates of Idaho PC | Physician Assistant | Past | Accepting new patients |
Locations
1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719
1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338
910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000
910 NW 16th St
Fruitland, ID 83619
Phone 2084523111100
3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
11035 W Karcher Rd
Nampa, ID 83651
Phone (208) 302-6600
1050 SW 3rd Ave
Ste 1600
Ontario, OR 97914
Phone (541) 881-2360
Interoperability endpoints
- monica.vernon.1@23758.direct.athenahealth.com
- mvernon1564276@direct.trinity-health.org
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
- Physical Therapy Clinic/Center
- Meridian, ID
- NPI 1104045392
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Hospitalist Physician
- Caldwell, ID
- NPI 1629425707
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598054400000",
"number": "1386192102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 NW 16TH ST",
"city": "FRUITLAND",
"state": "ID",
"postal_code": "836192265",
"telephone_number": "208-302-6600",
"fax_number": "208-302-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11035 KARCHER RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "83651",
"telephone_number": "208-302-6600",
"fax_number": "208-302-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "MONICA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-21",
"last_updated": "2020-08-22",
"certification_date": "2020-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-1412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.