Richard McChrystal, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

RPA163 Issued in ID

Practice address

4809 W Fairview Ave
Boise, ID 83706-2242

Phone

(208) 378-2840

Fax

(208) 323-9070

NPI assigned

Oct 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes Clinic - McCall LLCGroup PAC ID 7618127994, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke's McCall Hospital, McCall, ID, CCN 131312
• St Luke's Regional Medical Center Hospital, Boise, ID, CCN 130006

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rmcchrystal18674@direct.slhs.org

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.

• St Lukes Clinic - McCall LLC

  dba St Lukes Clinic - McCall

  • Family Medicine Physician
  • McCall, ID
  • NPI 1881982510
  Medicare reassignment Care Compare group
• Praxis Health, PC

  • Rural Health Clinic/Center
  • La Grande, OR
  • NPI 1336749621
  NPD
• St Lukes McCall, LTD

  dba St Lukes McCall Clinics

  • Family Medicine Physician
  • McCall, ID
  • NPI 1336457738
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Lukes McCall LTD

  • Critical Access Hospital
  • McCall, ID
  • NPI 1235447970
  Care Compare affiliation
• St Lukes Regional Medical Center

  dba Air St Luke's

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659464923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4236",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837114236",
            "telephone_number": "208-378-2840",
            "fax_number": "208-323-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 W FAIRVIEW AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062242",
            "telephone_number": "208-378-2840",
            "fax_number": "208-323-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCHRYSTAL",
        "first_name": "RICHARD",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "RPA163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBSI",
            "identifier": "000010016027",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PAPW1",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Alexis Shaw McCarter, BSN, RN, IBCLC
• Laura J McCarthy, MSCCC SLP
• Danielle McCauley, RD
• Shane Nathaniel McCauley, MD
• John Wilson McChesney, ATC, LAT, PHD
• Morgan McClain, LMSW
• Sarah McClain, PHARMD
• Michael McClay, PH.D.
• Carol Jean McClelland, PHYSICAL THERAPIST
• Elizabeth Ryann McClennen, D.O.

• Medical Physician Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.