Active NPI
Tony Bastar, NP
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 56825
- Practice address
- 58 W Chrisfield Dr
Meridian, ID 83646-3255 - Phone
- (208) 419-5300
- NPI assigned
- Apr 11, 2023
- Last updated
- Apr 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 56825 | ID | Primary |
Addresses
Primary practice location
58 W Chrisfield Dr
Meridian, ID 83646-3255
Mailing address
58 W Chrisfield Dr
Meridian, ID 83646-3255
Phone (208) 419-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1047 S Wells St
Meridian, ID 83642-7997
Phone (208) 297-3428
995 N Oregon St
Ontario, OR 97914-1533
Phone (541) 527-9414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56825 | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Excellence Institute | Psychiatry | Current | Accepting new patients |
| Addi | Psychiatric/Mental Health | Current | Accepting new patients |
| Haas Associates, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Meridian Advanced Psychiatry , LLC | Current | Accepting new patients | |
| D&G Medical Associates PLLC | Past | Accepting new patients | |
| Add Clinic of Idaho | Past | Accepting new patients |
Locations
12210 W Amity Rd
Boise, ID 83709
9327 W Cory Ln
Boise, ID 83704
Phone (208) 376-1300
999 W Main St
Ste 100
Boise, ID 83702
Phone (877) 707-1184
1047 S Wells St
Meridian, ID 83642
Phone (208) 398-3351
1526 W Ustick Rd
Ste 110
Meridian, ID 83646
Phone (208) 370-5888
1672 S Woodsage Ave
Ste 120
Meridian, ID 83642
Phone (208) 515-2273
995 N Oregon St
Ontario, OR 97914
Phone (541) 527-9414
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHIFDD
- https://fhir4.healow.com/fhir/r4/HCBGBD
Organizations & group practices 7
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.
-
dba EverCare Mobile Health
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, ID
- NPI 1497406904
OR
-
dba ADD Excellence Institute
- Psychiatry Physician
- Meridian, ID
- NPI 1235094632
-
dba ADD Clinic of Idaho
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, ID
- NPI 1326877762
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Meridan, ID
- NPI 1609412683
-
- Family Nurse Practitioner
- Meridian, ID
- NPI 1801567029
-
- Family Medicine Physician
- Meridian, ID
- NPI 1669975900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1992490254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 W CHRISFIELD DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836463255",
"telephone_number": "208-419-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 W CHRISFIELD DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836463255",
"telephone_number": "208-419-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTAR",
"first_name": "TONY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ID",
"license": "56825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.