Individual provider Active NPI

Aaron Clayson, AG-NP

  • Gerontology Nurse Practitioner
  • Chubbuck, ID
National Provider Identifier
1629814892
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2261477 Issued in ID
Practice address
4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone
(208) 904-4780
NPI assigned
Jul 8, 2024
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2261477 ID Primary

Addresses

Primary practice location

4511 Zebe Ave
Chubbuck, ID 83202-4707

Mailing address

4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone (208) 904-4780

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
I20240828002595 ID Practitioner - Nurse Practitioner 6406395987 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMH IncGroup PAC ID 8426149758, shared by 7 NPIs, 137 clinicians
Idaho Kidney Institute LLPGroup PAC ID 9032155312, 14 clinicians

Practice addresses (Care Compare)

315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990

4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone (208) 904-4780

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Kidney Institute LLP Nephrology CurrentSince Aug 20, 2024 Accepting new patients
BMH, Inc. Current Accepting new patients
BMH, Inc. CurrentSince Oct 15, 2024 Accepting new patients
BMH Inc. CurrentSince Oct 15, 2024 Accepting new patients
BMH Inc CurrentSince Oct 15, 2024 Accepting new patients
Transtreme, LLC PastSince Jul 21, 2024 Accepting new patients
BMH, Inc Past Accepting new patients

Locations

235 Poplar St
Blackfoot, ID 83221
Phone (208) 785-3828

245 Poplar St
Blackfoot, ID 83221
Phone (208) 643-0876

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

1501 Hiland Ave
Ste M
Burley, ID 83318
Phone (208) 352-7555

741 N Overland Ave
Burley, ID 83318
Phone (208) 677-5483

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

1259 Pier View Dr
Idaho Falls, ID 83402

2381 E Sunnyside Rd
Idaho Falls, ID 83404
Phone (208) 523-8500

3193 S Fork Blvd
Idaho Falls, ID 83402
Phone (208) 357-4010

333 Knudsen Blvd
Pocatello, ID 83202
Phone (208) 776-4732

350 N Haven Dr
Twin Falls, ID 83301
Phone (208) 735-3914

582 Pole Line Rd
Ste E
Twin Falls, ID 83301

Interoperability endpoints

  • Direct secure messaging: aaronclayson@bmh.medalliesdirect.net
  • Direct secure messaging: aclayson263501@ahs.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1629814892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 ZEBE AVE",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024707",
            "telephone_number": "208-904-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 ZEBE AVE",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024707",
            "telephone_number": "208-904-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYSON",
        "first_name": "AARON",
        "credential": "AG-NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ID",
            "license": "2261477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

Verify at the official NPI Registry.