Nicole Dawn Bartlett, DNP, AGACNP-BC, PNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP1111A Issued in ID

Practice address

562 Shoup Ave W
Twin Falls, ID 83301-5029

Phone

(208) 734-0407

NPI assigned

Aug 24, 2011

Last updated

Apr 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Nicole Dawn Bartlett Other name

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

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LB Medical ConsultantsGroup PAC ID 2668831371, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicolebartlett@ikillp.allscriptsdirect.net

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.

• LB Medical Consultants

  dba H3OWellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Twin Falls, ID
  • NPI 1558943779
  Medicare reassignment Care Compare group NPD Authorized official
• Physicians Immediate Care of Twin Falls PA

  dba Physicians Immediate Care Center

  • Urgent Care Clinic/Center
  • Twin Falls, ID
  • NPI 1114141090
  Medicare reassignment NPD
• LB Medical Consultants

  dba H3O Wellness Interventional Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Burley, ID
  • NPI 1679394308
  NPD Authorized official
• LB Medical Consultants

  dba H3O Wellness Interventional Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Twin Falls, ID
  • NPI 1558109553
  NPD (past) Authorized official
• Page Family Medicine

  • Family Medicine Physician
  • Burley, ID
  • NPI 1487151882
  NPD (past)

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1699055491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 SHOUP AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015029",
            "telephone_number": "208-736-7422",
            "fax_number": "208-333-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 SHOUP AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015029",
            "telephone_number": "208-734-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "NICOLE",
        "middle_name": "DAWN",
        "credential": "DNP, AGACNP-BC, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ID",
            "license": "NP1111A",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ID",
            "license": "23203A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP1111A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ID",
            "license": "NP1111A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BARTLETT",
            "middle_name": "DAWN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bryce R Barfuss, DDS
• Jonathan D Barker, DPT
• Samuel Fox Barker, M.D.
• Samuel Harrison Barker, D.C., NP-C
• Susan Barker
• Michael Barton, PTA
• Corinne Bartschi, FNP
• Gretchen G Basen, PA-C
• Cory Scott Bates, M.D.
• Cristin Bates

• Adult Health Nurse Practitioner in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Adult Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.