Individual provider Active NPI

Tony Bastar, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1992490254
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
56825 Issued in ID
Practice address
58 W Chrisfield Dr
Meridian, ID 83646-3255
Phone
(208) 419-5300
NPI assigned
Apr 11, 2023
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230818001241 ID Practitioner - Nurse Practitioner 7012379324 Reassigns benefits to 5 organizations
I20250715003198 OR Practitioner - Nurse Practitioner 7012379324 Reassigns benefits to 1 organization

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
Haas Associates, LLCGroup PAC ID 4880080100, 15 clinicians

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

LicenseStateTypeSpecialty
56825IDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Excellence Institute Psychiatry CurrentSince Jan 13, 2026 Accepting new patients
Addi Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Haas Associates, LLC Psychiatric/Mental Health CurrentSince May 23, 2025 Accepting new patients
Meridian Advanced Psychiatry , LLC CurrentSince Aug 1, 2023 Accepting new patients
D&G Medical Associates PLLC PastSince Jun 1, 2025 Accepting new patients
Add Clinic of Idaho PastSince Nov 1, 2024 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHIFDD
  • FHIR API: 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.

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

Verify at the official NPI Registry.