Individual provider Active NPI

Patrick Michael Abel

  • Physician Assistant
  • Twin Falls, ID
National Provider Identifier
1689304917
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-2340 Issued in ID
Practice address
118 9TH Ave N
Twin Falls, ID 83301-6352
Phone
(208) 537-7800
NPI assigned
Jun 10, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-2340 ID Primary

Addresses

Primary practice location

118 9TH Ave N
Twin Falls, ID 83301-6352

Mailing address

839 Harmony Rd
Twin Falls, ID 83301-7754
Phone (801) 920-4170

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Luminello

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
I20230523002723 ID Practitioner - Physician Assistant 4981060506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
ZXM Psychiatry PCGroup PAC ID 4385061852, 3 clinicians

Practice addresses (Care Compare)

118 9TH Ave N
Twin Falls, ID 83301-6352
Phone (208) 537-7800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-2340IDMDPhysician Assistant

Organizations & group practices 1

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1689304917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 HARMONY RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017754",
            "telephone_number": "801-920-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 9TH AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016352",
            "telephone_number": "208-537-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEL",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Luminello",
            "affiliation": "N",
            "address_1": "118 9th Ave N",
            "city": "Twin Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "833016352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.