Individual provider Active NPI

Christopher Sickel

  • Critical Care Medicine Nurse Practitioner
  • Boise, ID
National Provider Identifier
1790186799
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
NP-1496A Issued in ID
Practice address
1075 N Curtis Rd
Suite 200
Boise, ID 83706-1300
Phone
(208) 367-8333
NPI assigned
Sep 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 161744 MT
Critical Care Medicine Nurse Practitioner 363LC0200X NP-1496A ID Primary

Addresses

Primary practice location

1075 N Curtis Rd
Suite 200
Boise, ID 83706-1300

Mailing address

1075 N Curtis Rd
Suite 200
Boise, ID 83706-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141118001279 ID Practitioner - Nurse Practitioner 4284856766 Reassigns benefits to 1 organization
I20201022003987 MT Practitioner - Nurse Practitioner 4284856766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3913

16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270

2900 12TH Ave N
Suite 310W
Billings, MT 59101-7588
Phone (406) 238-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161744MTMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings LLC CurrentSince May 30, 2021 Accepting new patients
SCL Health Montana Current Accepting new patients
SCL Health Montana CurrentSince Nov 1, 2020 Accepting new patients
Vibra Physicians LLC CurrentSince Mar 15, 2018 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince May 30, 2021 Accepting new patients
SCL Health Montana CurrentSince Nov 1, 2020 Accepting new patients
St. Vincent Healthcare Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2131 S Bonito Way
Meridian, ID 83642
Phone (208) 202-4700

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

8081 Royal Ridge Pkwy
Ste 120
Irving, TX 75063

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1790186799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 N CURTIS RD",
            "address_2": "SUITE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 N CURTIS RD",
            "address_2": "SUITE 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061300",
            "telephone_number": "208-367-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKEL",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "MT",
            "license": "161744",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "ID",
            "license": "NP-1496A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.