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CASSIE NICOLE WILSON AGCANP
NPI 1104573112
Nurse Practitioner in Boise, ID

Active since March 09, 2022PECOS EnrolledAccepts Medicare Assignment
1075 N CURTIS RD STE 101, BOISE, ID 83706(208) 302-2800(208) 302-2825 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 13, 2024, Mar 9, 2022 (2 updates tracked since 2022).

About Cassie Nicole Wilson Agcanp NPPES

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

CASSIE NICOLE WILSON AGCANP (NPI 1104573112) is an individual nurse practitioner in Boise, Idaho, licensed in Idaho (66379) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1104573112
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCASSIE NICOLE WILSONCredential: AGCANP
Location Address1075 N CURTIS RD STE 101Boise, ID 83706-1348
Mailing AddressPo Box 31001-2360Pasadena, CA 91110-2360 · (208) 367-5170 · Fax (208) 367-5180
Phone(208) 302-2800
Fax(208) 302-2825
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 9, 2022
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1104573112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · 66379
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1075 N CURTIS RD STE 101, Boise, ID 83706
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Other Names 1

Former Name (1)Cassie Nicole Street Agcanp

Secondary Practice Location 1

Location 11055 N Curtis RdBoise, ID 83706-1309 · Phone (208) 367-2121

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassie Nicole Wilson Agcanp 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 ID7911394127
PECOS Enrollment IDI20220418001162
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 Cassie Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Alphonsus Regional Medical Center Inc
0.1 mi
Psychologist
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 781 clinicians in this Medicare group
NPI 1649357716 (208) 367-4148

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

Hospital Affiliations CMS Care Compare 3

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St. Alphonsus Medical Center - Baker City

Critical Access Hospitals · Baker City, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381315
Location3325 Pocahontas RoadBaker City, OR 97814 · Baker County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 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 7

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

KENNETH MADSEN MD
Surgery (Vascular Surgery)
1075 N CURTIS RD STE 101
BOISE, ID 83706
Ada County (208) 302-2800
DR. VIKRAM PALKAR DO
Surgery (Vascular Surgery)
1075 N CURTIS RD STE 101
BOISE, ID 83706
Ada County (208) 302-2800
GRACI MEIER PA-C
Physician Assistant
1075 N CURTIS RD STE 101
BOISE, ID 83706
Ada County (208) 302-2800
HEATHER BERGER CST
Specialist/Technologist, Other (Surgical Assistant)
1075 N CURTIS RD STE 101
BOISE, ID 83706
Ada County (208) 367-7463
DR. CHRISTOPHER M ALESSI MD
Surgery (Vascular Surgery)
1075 N CURTIS RD STE 101
BOISE, ID 83706
Ada County (208) 302-5150
CHRISTINE LEA EDEN MD
Surgery (Vascular Surgery)
1075 N CURTIS RD STE 101
BOISE, ID 83706
Ada County (208) 302-2800
DR. MURTUZA H HABEEB MD
Surgery (Vascular Surgery)
1075 N CURTIS RD STE 101
BOISE, ID 83706
Ada County (208) 302-2800

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 Cassie Wilson's NPI number?

The NPI number for Cassie Wilson is 1104573112. It was assigned to this individual provider in the NPPES registry on March 9, 2022. The provider is also known as Cassie Nicole Street Agcanp.

Where is Cassie Wilson located?

Cassie Wilson practices at 1075 N Curtis Rd Ste 101, Boise, ID 83706. The listed phone number is (208) 302-2800.

What is Cassie Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cassie Wilson enrolled in Medicare?

Yes. Cassie Wilson 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.

Which organization bills Medicare for Cassie Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cassie Wilson reassigns Medicare benefits to Saint Alphonsus Regional Medical Center Inc (Boise, 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 Cassie Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cassie Wilson accept?

Health plans from Molina Healthcare and Select Health list Cassie Wilson 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 Cassie Wilson affiliated with any hospitals?

According to CMS data, Cassie Wilson is affiliated with Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa and St. Alphonsus Medical Center - Baker City.

When was this NPI record last updated?

The NPPES record for Cassie Wilson was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.