Individual provider Active NPI

Lance B Nason, APRN-CNP

  • Family Nurse Practitioner
  • Bonners Ferry, ID
National Provider Identifier
1396417150
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
69333 Issued in ID
Practice address
66576 Highway 2
Bonners Ferry, ID 83805-5242
Phone
(208) 610-7566
NPI assigned
Sep 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 69333 ID Primary

Addresses

Primary practice location

66576 Highway 2
Bonners Ferry, ID 83805-5242

Mailing address

66576 Highway 2
Bonners Ferry, ID 83805-5242

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
I20221208002570 ID Practitioner - Nurse Practitioner 6507235843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonners Ferry Family Medicine PLLCGroup PAC ID 3971604166, 7 clinicians

Practice addresses (Care Compare)

6488 Chinook St
Bonners Ferry, ID 83805-7515
Phone (208) 267-8710

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bonners Ferry Family Medicine, PLLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

6488 Chinook St
Bonners Ferry, ID 83805
Phone (208) 267-8710

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1396417150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66576 HIGHWAY 2",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66576 HIGHWAY 2",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055242",
            "telephone_number": "208-610-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASON",
        "first_name": "LANCE",
        "middle_name": "B",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "69333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonners Ferry, ID

Sources for this page

Verify at the official NPI Registry.