Active NPI
Charles Bryan Simpson, FNP
- Nurse Practitioner
- Gooding, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 66241
- Practice address
- 267 N Canyon Dr
Gooding, ID 83330-5500 - Phone
- (208) 934-4433
- NPI assigned
- Aug 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 16540 | ID | |
| Registered Nurse | 163W00000X | 44491 | ID | |
| Flight Registered Nurse | 163WF0300X | 44491 | ID | |
| Family Nurse Practitioner | 363LF0000X | 66241 | ID | |
| Family Nurse Practitioner | 363LF0000X | 226070 | MT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nurse Practitioner | 363L00000X | 66241 | ID | Primary |
Addresses
Primary practice location
267 N Canyon Dr
Gooding, ID 83330-5500
Mailing address
9891 W Mren St
Boise, ID 83709-4723
Phone (208) 484-7804
Other practice location 1
640 Park Ave
Shelby, MT 59474-1663
Phone (406) 434-3200
Other practice location 2
670 Park Ave
Shelby, MT 59474-1663
Phone (406) 966-7040
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Direct | Logan Health - Shelby |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, MT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wheatland Memorial Healthcare
Practice addresses (Care Compare)
25 US Hwy 191 N
Harlowton, MT 59036
Phone (406) 632-4351
332 Leavitt Ave
Jordan, MT 59337-0389
Phone (406) 557-2500
Highway 86 at Topawa Rd
Sells Indian Hospital
Sells, AZ 85634
Phone (520) 383-7285
PO Box
Harlowton, MT 59036
PO Box
Jordan, MT 59337-0389
Hospital & facility affiliations
- Wheatland Memorial Hospital
- Garfield County Health Center
- Jefferson Community Health & Life
- Sells Hospital
- Garfield County Health Center
- Wheatland Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16540 | ID | MD | Paramedic |
| 44491 | ID | MD | Registered Nurse |
| 66241 | ID | MD | Family Nurse Practitioner |
| 226070 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Garfield | Current | Accepting new patients | |
| Ton San Xavier Health Center | Current | Accepting new patients | |
| Ton San Simon Health Center | Current | Accepting new patients | |
| Logan Health - Shelby | Current | Accepting new patients | |
| Wheatland Memorial Healthcare | Current | Accepting new patients | |
| Logan Health - Shelby | Current | Accepting new patients | |
| Ton Santa Rosa Health Center | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| North Canyon Medical Center, Inc. | Current | Accepting new patients | |
| North Canyon Medical Center Inc. | Current | Accepting new patients | |
| Ton Sells Hospital | Current | Accepting new patients | |
| Wheatland Memorial Healthcare | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| Ton San Xavier Health Center | Past | Accepting new patients | |
| Ton Sells Hospital | Past | Accepting new patients | |
| Marias Healthcare Services Inc | Past | Accepting new patients | |
| Ton Santa Rosa Health Center | Past | Accepting new patients | |
| Wheatland Memorial Healthcare | Past | Accepting new patients |
Locations
7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
640 Park Ave
Shelby, MT 59474
Phone (406) 434-3200
670 Park Ave
Shelby, MT 59474
Phone (406) 434-3110
Interoperability endpoints
- krmcmedicalrecords@krhdirect.org
Organizations & group practices 18
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.
-
- Critical Access Hospital
- Gooding, ID
- NPI 1609046671
-
- Critical Access Hospital
- Shelby, MT
- NPI 1497742415
-
- Critical Access Hospital
- Harlowton, MT
- NPI 1073687406
-
- Rural Health Clinic/Center
- Harlowton, MT
- NPI 1235204538
-
- Critical Access Hospital
- Jordan, MT
- NPI 1053381483
-
- Radiology Clinic/Center
- Twin Falls, ID
- NPI 1700641636
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Family Medicine Physician
- Mountain Home, ID
- NPI 1417297821
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Jordan, MT
- NPI 1053381483
-
- Critical Access Hospital
- Fairbury, NE
- NPI 1477660397
-
- Critical Access Hospital
- Harlowton, MT
- NPI 1073687406
-
- Medicare Defined Swing Bed Hospital Unit
- Harlowton, MT
- NPI 1265507172
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1841800943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9891 W MREN ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837094723",
"telephone_number": "208-484-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 N CANYON DR",
"city": "GOODING",
"state": "ID",
"postal_code": "833305500",
"telephone_number": "208-934-4433"
}
],
"practiceLocations": [
{
"address_1": "640 Park Ave",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "MT",
"postal_code": "594741663",
"country_code": "US",
"telephone_number": "406-434-3200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "670 Park Ave",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "MT",
"postal_code": "594741663",
"country_code": "US",
"telephone_number": "406-966-7040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMPSON",
"first_name": "CHARLES",
"middle_name": "BRYAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-04",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "ID",
"license": "16540",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "44491",
"primary": false
},
{
"code": "163WF0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Flight",
"state": "ID",
"license": "44491",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "66241",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "226070",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "66241",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Logan Health - Shelby",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "640 Park Ave",
"city": "Shelby",
"state": "MT",
"country_code": "US",
"postal_code": "594741663",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gooding, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.