Ty Alan Cottle, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1471648 Issued in ID

Practice address

711 Rigby Lake Dr Ste 600
Rigby, ID 83442-5372

Phone

(208) 973-9413

Fax

(208) 216-0228

NPI assigned

Jan 15, 2025

Last updated

Mar 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Haas Associates, LLCGroup PAC ID 4880080100, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Haas Associates, LLC

  dba EverCare Mobile Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, ID
  • NPI 1497406904
  Medicare reassignment Care Compare group NPD
• Spring Creek Mental Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rigby, ID
  • NPI 1154135465
  Medicare reassignment NPD Authorized official
• Optimum Health, PLLC

  • Emergency Medicine Physician
  • Pocatello, ID
  • NPI 1306401575
  Medicare reassignment NPD
• Pick PT Physical Therapy Rigby

  dba Pick PT Rigby

  • Physical Therapist
  • Rigby, ID
  • NPI 1417613571
  NPD

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1871304238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321",
            "city": "LEWISVILLE",
            "state": "ID",
            "postal_code": "834310321",
            "telephone_number": "208-973-9413",
            "fax_number": "208-216-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 RIGBY LAKE DR STE 600",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425372",
            "telephone_number": "208-973-9413",
            "fax_number": "208-216-0228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2081 Roza Dr",
            "address_purpose": "LOCATION",
            "city": "Zillah",
            "state": "WA",
            "postal_code": "989539361",
            "country_code": "US",
            "telephone_number": "208-973-9413",
            "fax_number": "208-216-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTLE",
        "first_name": "TY",
        "middle_name": "ALAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-15",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "1471648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Council of Idaho, Inc. (Community Family Clinic)
• Community Council of Idaho, Inc. (Community Family Clinic Pharmacy Non-340B)
• Odila Conica
• Camille Moon Cook, MSW
• Cory Warner DDS, PLLC
• Kayla Joe Crall, LMSW
• Ann Michele Craun, PH.D
• Larry T Curtis, MD
• Dansie Dental
• Ben R Dansie, DMD

• Psychiatric/Mental Health Nurse Practitioner in Rigby, ID
• Providers in Rigby, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.

Verify at the official NPI Registry.