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MATTHEW FOWLER AGNP-C
NPI 1053943688
Nurse Practitioner - Psychiatric/Mental Health in Nampa, ID

Active since February 11, 2020PECOS EnrolledAccepts Medicare Assignment
1611 12TH AVE RD STE A, NAMPA, ID 83686(208) 546-3650(208) 505-1947 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2025, Feb 21, 2022, Sep 3, 2020 and 3 more (6 updates tracked since 2020).

About Matthew Fowler Agnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW FOWLER AGNP-C (NPI 1053943688) is an individual psychiatric/mental health provider in Nampa, Idaho, licensed in Idaho (63745) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053943688
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMATTHEW FOWLERCredential: AGNP-C
Location Address1611 12TH AVE RD STE ANampa, ID 83686-6182
Mailing Address1123 12th Ave Rd # 325Nampa, ID 83686-5738 · (208) 546-3650 · Fax (208) 505-1947
Phone(208) 546-3650
Fax(208) 505-1947
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 11, 2020
Last NPPES UpdateSeptember 22, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1053943688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 63745
Also ListedNurse PractitionerTaxonomy 363L00000X · License 63745 (ID)
1611 12TH AVE RD STE A, Nampa, ID 83686
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Fowler Agnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224442348
PECOS Enrollment IDI20210202000948
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83686 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALCYON INFUSIONS & THERAPEUTICS, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1611 12TH AVE RD STE A
NAMPA, ID 83686
Canyon County (208) 546-3650
ALLERGY BUTLER, LLC
Pharmacy (Clinic Pharmacy)
1611 12TH AVE RD STE A
NAMPA, ID 83686
Canyon County (844) 426-9843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Fowler's NPI number?

The NPI number for Matthew Fowler is 1053943688. It was assigned to this individual provider in the NPPES registry on February 11, 2020.

Where is Matthew Fowler located?

Matthew Fowler practices at 1611 12th Ave Rd Ste A, Nampa, ID 83686. The listed phone number is (208) 546-3650.

What is Matthew Fowler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Matthew Fowler enrolled in Medicare?

Yes. Matthew Fowler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Fowler accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Matthew Fowler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Fowler was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.