Individual provider Active NPI

Ashley Marie Pomponio

  • Psychiatric/Mental Health Nurse Practitioner
  • Orofino, ID
National Provider Identifier
1699643866
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7571282 Issued in ID
Practice address
269 106TH St
Orofino, ID 83544-9323
Phone
(850) 512-6766
NPI assigned
Oct 28, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7571282 ID Primary

Addresses

Primary practice location

269 106TH St
Orofino, ID 83544-9323

Mailing address

269 106TH St
Orofino, ID 83544-9323
Phone (850) 512-6766

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
I20260119000328 ID Practitioner - Nurse Practitioner 0143707414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Human Supports of IdahoGroup PAC ID 0244485894, 10 clinicians

Practice addresses (Care Compare)

4477 W Emerald St
Suite C100
Boise, ID 83706-2058
Phone (208) 321-0160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7571282IDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Human Supports of Idaho Single Specialty CurrentSince Jan 9, 2026 Accepting new patients
Human Supports of Idaho Single Specialty CurrentSince Jan 9, 2026 Accepting new patients

Locations

4477 W Emerald St
Ste C100
Boise, ID 83706
Phone (208) 321-0160

206 E Elm St
Caldwell, ID 83605
Phone (208) 454-0505

Organizations & group practices 2

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": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1699643866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 106TH ST",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835449323",
            "telephone_number": "850-512-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 106TH ST",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835449323",
            "telephone_number": "850-512-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPONIO",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "7571282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orofino, ID

Sources for this page

Verify at the official NPI Registry.