NPIMap

Individual provider Active NPI

Joshua Price, PA-C

  • Physician Assistant
  • Nampa, ID
National Provider Identifier
1528714110
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-2252 Issued in ID
Practice address
1200 Garrity Blvd
Nampa, ID 83687-3402
Phone
(208) 343-6458
Fax
(281) 837-0600
NPI assigned
Feb 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-2252 ID Primary

Addresses

Primary practice location

1200 Garrity Blvd
Nampa, ID 83687-3402

Mailing address

1200 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 343-6458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708002562 ID Practitioner - Physician Assistant 2264812114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Gastroenterology Associates LLPGroup PAC ID 6002708773, 35 clinicians

Practice addresses (Care Compare)

1200 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 489-1431

1216 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 343-6458

425 W Bannock St
Boise, ID 83702-6035
Phone (208) 489-1431

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mohamed S Ahmed MD PA PastSince Feb 1, 2022 Accepting new patients
Southern Idaho Health Partners LLC Past Accepting new patients

Organizations & group practices 3

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1528714110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GARRITY BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873402",
            "telephone_number": "208-343-6458",
            "fax_number": "281-837-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GARRITY BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873402",
            "telephone_number": "208-343-6458",
            "fax_number": "281-837-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JOSHUA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.