CHRISTOPHER ALAN ANTHONY NICHOLAS
NPI 1104427152
Nurse Practitioner - Family in Eagle, ID

Q: What is Christopher Nicholas's NPI number?

The NPI number for Christopher Nicholas is 1104427152. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Q: What is Christopher Nicholas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 05, 2020PECOS EnrolledAccepts Medicare Assignment

83.32/100

CMS Quality Rating

3101 E STATE ST, EAGLE, ID 83616(208) 473-3100 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2023, Jun 14, 2021, Nov 5, 2020 (3 updates tracked since 2020).

On this page

About Christopher Alan Anthony Nicholas NPPES

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

CHRISTOPHER ALAN ANTHONY NICHOLAS (NPI 1104427152) is an individual family provider in Eagle, Idaho, licensed in Idaho (66285) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1104427152

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCHRISTOPHER ALAN ANTHONY NICHOLAS

Location Address3101 E STATE STEagle, ID 83616-6232

Mailing Address190 E Bannock StBoise, ID 83712-6241 · Fax (208) 375-0599

Phone(208) 473-3100

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 5, 2020

Last NPPES UpdateJanuary 18, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2023

✔ NPI 1104427152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · 66285

3101 E STATE ST, Eagle, ID 83616

Open in Google Maps ↗

Secondary Practice Location 1

Location 11075 N Curtis Rd Ste 100Boise, ID 83706-1348 · Phone (208) 377-5166 · Fax (208) 375-0599

Accepted Insurance

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

Christopher Alan Anthony Nicholas 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 ID5193130698

PECOS Enrollment IDI20210223001042

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 2

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

345 services326 patients

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.

131 services128 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83616 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.32/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.51

Promoting Interoperability

100

Improvement Activities

Cost

64.88

Other Providers at the Same Location NPPES 10

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

DR. BENJAMIN ARI SATTERFIELD MD, PHD

Internal Medicine (Cardiovascular Disease)

3101 E STATE ST
EAGLE, ID 83616

Ada County (208) 322-1680

MR. SEAN MICHAEL LAWSON

Physician Assistant

3101 E STATE ST
EAGLE, ID 83616

Ada County (208) 473-3100

KIMBERLY R TANABE M.D.

Internal Medicine

3101 E STATE ST, SUITE 2120
EAGLE, ID 83616

Ada County (208) 473-3275

DR. COLEEN D HULBERT MD

Family Medicine

3101 E STATE ST, STE 1100
EAGLE, ID 83616

Ada County (208) 473-3500

MITCHELL GARRETT BROWN FNP

Nurse Practitioner (Family)

3101 E STATE ST
EAGLE, ID 83616

Ada County (208) 473-3100

SUSANNE L STICKLER MD

Internal Medicine

3101 E STATE ST, SUITE 2120
EAGLE, ID 83616

Ada County (208) 706-8000

KRISTINA COFFEY PA

Physician Assistant

3101 E STATE ST
EAGLE, ID 83616

Ada County (208) 473-3100

JESSICA ANN CLARK AU.D.

Audiologist

3101 E STATE ST, SUITE 2108
EAGLE, ID 83616

Ada County (208) 489-4975

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 Christopher Nicholas's NPI number?

The NPI number for Christopher Nicholas is 1104427152. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Where is Christopher Nicholas located?

Christopher Nicholas practices at 3101 E State St, Eagle, ID 83616. The listed phone number is (208) 473-3100.

What is Christopher Nicholas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Christopher Nicholas enrolled in Medicare?

Yes. Christopher Nicholas 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 Christopher Nicholas accept?

Health plans from Moda Health Plan, Inc. list Christopher Nicholas 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.

Is Christopher Nicholas affiliated with any hospitals?

According to CMS data, Christopher Nicholas is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Christopher Nicholas was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.