Active NPI
Nate Boyle, RN, MSN, FNP-BC
- Family Nurse Practitioner
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-1159A
- Practice address
- 3100 Channing Way
Idaho Falls, ID 83404-7533 - Phone
- (208) 227-2001
- NPI assigned
- May 4, 2012
- Last updated
- Jun 21, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-1159A | ID | Primary |
| Registered Nurse | 163W00000X | N-37724 | ID |
Addresses
Primary practice location
3100 Channing Way
Idaho Falls, ID 83404-7533
Mailing address
1710 Marsala CT
Idaho Falls, ID 83401-6283
Phone (208) 552-0478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP-1159A | Other | ID | STATE LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2305 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 522-1764
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700
2330 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-1234
2351 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 522-7310
2353 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-4823
2375 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-1234
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 529-6111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-37724 | ID | MD | Registered Nurse |
| NP-1159A | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Emergency Physicians | Current | Accepting new patients | |
| Connected Medical Group LLC | Family | Current | Accepting new patients |
| Emergency Physicians Integrated Care, LLC | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients |
Locations
351 E Center St
Downey, ID 83234
Phone (208) 897-5683
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000
2330 Coronado St
Idaho Falls, ID 83404
Phone (208) 552-1234
2985 Cortez Ave
Idaho Falls, ID 83404
Phone (208) 522-4600
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
1751 W Alexander St
Ste 106
West Valley City, UT 84119
Phone (801) 335-0522
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
ID
-
- Emergency Medicine Physician
- Idaho Falls, ID
- NPI 1124005467
-
dba Pain and Spine Specialists of Idaho
- Pain Medicine Physician
- Pocatello, ID
- NPI 1699141150
-
- Family Nurse Practitioner
- Mapleton, UT
- NPI 1245709807
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1114481447
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371772800000",
"number": "1649539164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 MARSALA CT",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834016283",
"telephone_number": "208-552-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 CHANNING WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047533",
"telephone_number": "208-227-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "NATE",
"credential": "RN, MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-04",
"last_updated": "2013-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP-1159A",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "N-37724",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "NP-1159A",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.