Individual provider Active NPI

Charles Bryan Simpson, FNP

  • Nurse Practitioner
  • Gooding, ID
National Provider Identifier
1841800943
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
66241 Issued in ID
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

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Logan Health - Shelby

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MT, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210105002741 ID Practitioner - Nurse Practitioner 4486067782 Reassigns benefits to 1 organization
I20240920001066 MT Practitioner - Nurse Practitioner 4486067782 Reassigns benefits to 4 organizations
I20260106000168 TX Practitioner - Nurse Practitioner 4486067782 Reassigns benefits to 4 organizations

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 HealthcareGroup PAC ID 3375451370, shared by 3 NPIs, 17 clinicians
County of GarfieldGroup PAC ID 8325178551, 4 clinicians
Ton Sells HospitalGroup PAC ID 5092768663, 51 clinicians

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 Hospital, Harlowton, MT, CCN 271321
  • Garfield County Health Center Hospital, Jordan, MT, CCN 271310
  • Jefferson Community Health & Life Hospital, Fairbury, NE, CCN 281319
  • Sells Hospital Hospital, Sells, AZ, CCN 030074
  • Garfield County Health Center Hospital, Jordan, MT, CCN 270779
  • Wheatland Memorial Hospital Nursing home, CCN 27Z321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16540IDMDParamedic
44491IDMDRegistered Nurse
66241IDMDFamily Nurse Practitioner
226070MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Garfield Current Accepting new patients
Ton San Xavier Health Center CurrentSince Jan 2, 2026 Accepting new patients
Ton San Simon Health Center CurrentSince Jan 2, 2026 Accepting new patients
Logan Health - Shelby CurrentSince Sep 13, 2024 Accepting new patients
Wheatland Memorial Healthcare CurrentSince Jul 2, 2025 Accepting new patients
Logan Health - Shelby CurrentSince Sep 13, 2024 Accepting new patients
Ton Santa Rosa Health Center CurrentSince Oct 12, 2025 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jul 26, 2024 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Nov 5, 2020 Accepting new patients
North Canyon Medical Center Inc. CurrentSince Nov 5, 2020 Accepting new patients
Ton Sells Hospital CurrentSince Oct 12, 2025 Accepting new patients
Wheatland Memorial Healthcare CurrentSince Jul 2, 2025 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Jul 26, 2024 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

  • Direct secure messaging: 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.

View all 18

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.