Individual provider Active NPI

Aprilyn Nadine Carl, PA-C

  • Physician Assistant
  • Boise, ID
National Provider Identifier
1588090948
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1884 Issued in ID
Practice address
500 S 8TH St
Boise, ID 83702-7107
Phone
(855) 255-1750
Fax
(855) 255-0905
NPI assigned
Sep 17, 2013
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-1884 ID Primary
Physician Assistant 363A00000X PA61434813 WA
Physician Assistant 363A00000X PA23222 CA

Addresses

Primary practice location

500 S 8TH St
Boise, ID 83702-7107

Mailing address

413 29TH St NE Ste I
Puyallup, WA 98372-7154
Phone (855) 255-1750

Other practice location 1

413 29th St NE Ste I
Puyallup, WA 98372-7154
Phone (855) 255-1750

Other names 1

  • Miss Aprilyn Nadine Witt Former name

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
I20200804003328 ID Practitioner - Physician Assistant 0042447518 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23222CAMDClinical Social Worker
PA23222CAMDPhysician Assistant
PA-1884IDMDPhysician Assistant
PA61434813WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Nov 1, 2013 Accepting new patients
Cep America-California CurrentSince Nov 1, 2013 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Physician Assistant Current Accepting new patients
Cep America LLC CurrentSince Aug 1, 2020 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jan 1, 2021 Accepting new patients
Cep America, LLC CurrentSince Aug 1, 2020 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Physician Assistant CurrentSince Jan 1, 2021 Accepting new patients
United Wound Healing Accountable Care Consultants PLLC Physician Assistant CurrentSince Nov 13, 2022 Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

500 S 8th St
Boise, ID 83702

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

2913 5th Ave NE
Ste 101
Puyallup, WA 98372
Phone (253) 905-0646

413 29th St NE
Ste I
Puyallup, WA 98372

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, 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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1588090948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 29TH ST NE STE I",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983727154",
            "telephone_number": "855-255-1750",
            "fax_number": "855-255-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 8TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027107",
            "telephone_number": "855-255-1750",
            "fax_number": "855-255-0905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 29th St NE Ste I",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983727154",
            "country_code": "US",
            "telephone_number": "855-255-1750",
            "fax_number": "855-255-0905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARL",
        "first_name": "APRILYN",
        "middle_name": "NADINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1884",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61434813",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA23222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "APRILYN",
            "last_name": "WITT",
            "middle_name": "NADINE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.