Individual provider Active NPI

Donna J Christensen, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Boise, ID
National Provider Identifier
1396978722
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP922A Issued in ID
Practice address
3152 S Bown Way Ste 101
Boise, ID 83706
Phone
(208) 922-7055
Fax
(208) 576-6930
NPI assigned
Sep 2, 2009
Last updated
Mar 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP922A ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP922A ID Primary

Addresses

Primary practice location

3152 S Bown Way Ste 101
Boise, ID 83706

Mailing address

3282 E Rivernest LN
Boise, ID 83706-6928
Phone (208) 841-2232

Other practice location 1

10112 W Overland Rd
Boise, ID 83709-1428
Phone (208) 780-3900

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
I20091118000707 ID Practitioner - Nurse Practitioner 1052459682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3152 S Bown Way
Suite 101
Boise, ID 83706-5456
Phone (208) 922-7055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP922AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nexgen Mental Health & Wellness Family CurrentSince Feb 26, 2019 Accepting new patients
Treasure Valley Past Accepting new patients
Treasure Valley Mental Health, LLC Past Accepting new patients
Oster Medical Group Past Accepting new patients
Preventative Health Family PastSince Oct 5, 2022 Accepting new patients

Locations

3152 S Bown Way
Ste 101
Boise, ID 83706
Phone (208) 376-1737

Organizations & group practices 5

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": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1396978722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3282 E RIVERNEST LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066928",
            "telephone_number": "208-841-2232",
            "fax_number": "208-576-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 S BOWN WAY STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-922-7055",
            "fax_number": "208-576-6930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10112 W Overland Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837091428",
            "country_code": "US",
            "telephone_number": "208-780-3900",
            "fax_number": "208-375-2882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "DONNA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP922A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP922A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.