Carey Dawn Crill, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Boise, ID
NPI 1457530693 · NPPES record last updated Dec 17, 2018
Key facts
- NPI
- 1457530693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NP-391A (ID)
- Practice address
- 5440 W Franklin Rd Ste 108
Boise, ID 83705-6433 - Phone
- (208) 283-7314
- Fax
- (208) 322-5379
- NPI assigned
- Oct 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Integrity Psychiatric Services LLC
Practice addresses (Care Compare)
1000 N Curtis Rd
Suite 202
Boise, ID 83706-1346
Phone (208) 283-7314
280 E Corporate Dr
Suite 200
Meridian, ID 83642-2953
Phone (208) 283-7314
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- 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 |
|---|---|---|---|---|
| I20080620000110 | ID | Practitioner - Nurse Practitioner | 4385715275 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-391A | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zora Neurospa, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Mountain View Behavioral Health, PLLC | Past | Accepting new patients |
Locations
1000 N Curtis Rd
Ste 202
Boise, ID 83706
Phone (208) 377-3435
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP-391A | ID | Yes |
Addresses
Primary practice location
5440 W Franklin Rd Ste 108
Boise, ID 83705-6433
Mailing address
5440 W Franklin Rd Ste 108
Boise, ID 83705-6433
Phone (208) 283-7314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457530693 | Medicaid | ID |
Other providers in Boise, ID
- Crescent Creek Therapy, LLC
- Creswell Counseling Center LLC
- Judith Anne Crews
- Charlene A Crichton
- Rolf O Crichton
- Kristin Cripps
- Matthew R Crispo
- John D Crites
- Jessica Rose Crocker-Oswald
- Erica Crockett
All providers in Boise, ID · Psychiatric/Mental Health Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2018. 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.