Individual provider Active NPI

Scott A Watkins

  • Psychiatric/Mental Health Nurse Practitioner
  • Nampa, ID
National Provider Identifier
1760950604
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
60027 Issued in ID
Practice address
2836 Cougar Ave
Nampa, ID 83687-9107
Phone
(208) 697-1075
NPI assigned
Nov 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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 60027 ID Primary

Addresses

Primary practice location

2836 Cougar Ave
Nampa, ID 83687-9107

Mailing address

2836 Cougar Ave
Nampa, ID 83687-9107
Phone (208) 697-1075

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
I20190422001834 ID Practitioner - Nurse Practitioner 5698017762 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health and Rehabilitation LLCGroup PAC ID 8123448628, 3 clinicians

Practice addresses (Care Compare)

10101 W Overland Rd
Suite 110
Boise, ID 83709-1429
Phone (208) 333-9578

1579 N Linder Rd
Kuna, ID 83634-1217
Phone (208) 629-5620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Health and Rehabilitation LLC CurrentSince Jul 14, 2024 Accepting new patients
Adams County Health Center Inc CurrentSince Mar 1, 2020 Accepting new patients
Dwyer & Harrington, PLLC CurrentSince Apr 1, 2019 Accepting new patients
Idaho Mental Wellness & Addiction Recovery PLLC CurrentSince Mar 30, 2021 Accepting new patients

Locations

10101 W Overland Rd
#110
Boise, ID 83709
Phone (208) 333-9578

5985 W State St
Boise, ID 83703
Phone (208) 853-0071

1579 N Linder Rd
Kuna, ID 83634
Phone (208) 629-5620

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1760950604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 COUGAR AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879107",
            "telephone_number": "208-697-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 COUGAR AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879107",
            "telephone_number": "208-697-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SCOTT",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "60027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.