Aprilyn Nadine Carl, PA-C
Individual provider Active NPI Physician Assistant · Boise, ID
NPI 1588090948 · NPPES record last updated Sep 27, 2024
Key facts
- NPI
- 1588090948
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA-1884 (ID)
- Practice address
- 500 S 8TH St
Boise, ID 83702-7107 - Phone
- (855) 255-1750
- Fax
- (855) 255-0905
- NPI assigned
- Sep 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
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 |
|---|---|---|---|---|
| I20200804003328 | ID | Practitioner - Physician Assistant | 0042447518 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23222 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PA23222 | CA | MD | Physician Assistant |
| PA-1884 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Current |
Accepting new patients | |
| United Wound Healing Accountable Care Consultants PLLC | Physician Assistant | Current |
Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Physician Assistant | Current |
Accepting new patients |
| Cep America LLC | Current |
Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Physician Assistant | Current | Accepting new patients |
| Cep America, LLC | Current |
Accepting new patients | |
| Cep America - California | Current |
Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
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
413 29th St NE
Ste I
Puyallup, WA 98372
2913 5th Ave NE
Ste 101
Puyallup, WA 98372
Phone (253) 905-0646
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-1884 | ID | Yes |
| 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
- Miss Aprilyn Nadine Witt
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.