Individual provider Active NPI

Amy Nield

  • Physician Assistant
  • Pocatello, ID
National Provider Identifier
1871221408
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3761275 Issued in ID
Practice address
1133 Call Creek Dr
Pocatello, ID 83201-3000
Phone
(208) 243-8444
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3761275 ID Primary

Addresses

Primary practice location

1133 Call Creek Dr
Pocatello, ID 83201-3000

Mailing address

1133 Call Creek Dr Ste a
Pocatello, ID 83201-3000
Phone (208) 243-8444

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
I20250303001860 ID Practitioner - Physician Assistant 1153842430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon a West DO PLLCGroup PAC ID 1153644075, 4 clinicians

Practice addresses (Care Compare)

1133 Call Creek Dr
Suite a
Pocatello, ID 83201-3000
Phone (208) 232-1000

1133 Call CRK PL a
Pocatello, ID 83201-3000

1133 Call PL a
Pocatello, ID 83201-3076

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3761275IDMDPhysician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1871221408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 CALL CREEK DR STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013000",
            "telephone_number": "208-243-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 CALL CREEK DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013000",
            "telephone_number": "208-243-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELD",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "3761275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.