Individual provider Active NPI

Bethany L Taylor-Spillett, PA-C

  • Medical Physician Assistant
  • Nampa, ID
National Provider Identifier
1487843322
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-1573 Issued in ID
Practice address
4400 E Flamingo Ave
Ste 200
Nampa, ID 83687
Phone
(208) 302-2100
Fax
(208) 302-2125
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-852 ID
Medical Physician Assistant 363AM0700X PA01283 OR
Medical Physician Assistant 363AM0700X PA-1573 ID Primary

Addresses

Primary practice location

4400 E Flamingo Ave
Ste 200
Nampa, ID 83687

Mailing address

3340 E. Goldstone Way
Meridian, ID 83642
Phone (208) 302-2100

Other names 1

  • Bethany L Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071119000181 OR Practitioner - Physician Assistant 0547358905 Reassigns benefits to 2 organizations
I20100603000498 ID Practitioner - Physician Assistant 0547358905 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Medical Center- Ontario IncGroup PAC ID 1456488899, 42 clinicians
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, 672 clinicians
Weiser Valley Hospital DistrictGroup PAC ID 5294704276, shared by 4 NPIs, 60 clinicians

Practice addresses (Care Compare)

1050 SW 3Rd Ave
Suite 1600
Ontario, OR 97914-4552
Phone (541) 881-2360

3025 W Cherry LN
Meridian, ID 83642-8531

351 SW 9TH St
Ontario, OR 97914-2639
Phone (541) 881-7000

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

645 E 5TH St
Weiser, ID 83672-2202
Phone (208) 549-3152

910 NW 16TH St
Fruitland, ID 83619-2265

Hospital & facility affiliations

  • Saint Alphonsus Medical Center Ontario Hospital, Ontario, OR, CCN 380052
  • Weiser Memorial Hospital Hospital, Weiser, ID, CCN 131307
  • Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Weiser Valley Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Oct 6, 2020 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Orthopaedic Surgery CurrentSince Jan 15, 2018 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jan 15, 2018 Accepting new patients
Weiser Valley Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Oct 6, 2020 Accepting new patients
Weiser Valley Hospital District Past Accepting new patients

Locations

910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

4400 E Flamingo Ave
Ste 200
Nampa, ID 83687
Phone (208) 302-2100

645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370

3175 Pocahontas Rd
Baker City, OR 97814
Phone (208) 302-2200

1050 SW 3rd Ave
Ste 2600
Ontario, OR 97914
Phone (541) 881-1601

1050 SW 3rd Ave
Ste 1600
Ontario, OR 97914
Phone (541) 881-2360

Interoperability endpoints

  • Direct secure messaging: btaylorspillett1564351@direct.trinity-health.org

Organizations & group practices 9

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 4

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1487843322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E. GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-302-2100",
            "fax_number": "208-302-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 E FLAMINGO AVE",
            "address_2": "STE 200",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83687",
            "telephone_number": "208-302-2100",
            "fax_number": "208-302-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-SPILLETT",
        "first_name": "BETHANY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-852",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA01283",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-1573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "TAYLOR",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.