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

Q: 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.

Q: 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.

Q: 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 13 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.

Active since February 11, 2020PECOS Enrolled

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: October 25, 2026.

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

On this page

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.

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

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., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Fowler Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Fowler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meridian Advanced Psychiatry , LLC

8.7 mi

Addiction Medicine

1672 S WOODSAGE AVE.
Meridan, ID 83642

Reassigned Medicare billing, Idaho enrollment
39 clinicians in this Medicare group

NPI 1609412683 (208) 515-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organization bills Medicare for Matthew Fowler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Fowler reassigns Medicare benefits to Meridian Advanced Psychiatry , LLC (Meridan, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Fowler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Fowler accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, 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 13 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.