NICHOLAS WREN MD
NPI 1114629516
Internal Medicine in Meridian, ID

Q: What is Nicholas Wren's NPI number?

The NPI number for Nicholas Wren is 1114629516. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Nicholas Wren's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Wren was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 20, 2023PECOS EnrolledAccepts Medicare Assignment

520 S EAGLE RD STE 3102, MERIDIAN, ID 83642(208) 706-5100(208) 706-5169 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2026, Aug 15, 2023, Apr 14, 2023 and 1 more (4 updates tracked since 2023).

On this page

About Nicholas Wren Md NPPES

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

NICHOLAS WREN MD (NPI 1114629516) is an individual internal medicine provider in Meridian, Idaho, licensed in Idaho (6981918) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114629516

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameNICHOLAS WRENCredential: MD

Location Address520 S EAGLE RD STE 3102Meridian, ID 83642-6352

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 706-5100

Fax(208) 706-5169

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2023

Enumeration DateMarch 20, 2023

Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1114629516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in ID · 6981918

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

520 S EAGLE RD STE 3102, Meridian, ID 83642

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1500 W Fort St # 111RBoise, ID 83702-4599 · Phone (208) 422-1314 · Fax (208) 422-1388

Location 21000 E Park Blvd Ste 120Boise, ID 83712-7793 · Phone (208) 381-4100 · Fax (208) 381-4101

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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

Nicholas Wren Md 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 ID3274908033

PECOS Enrollment IDI20260806002562

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 Nicholas Wren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Lukes Clinic-Treasure Valley LLC

8.1 mi

Family Medicine

190 E BANNOCK ST
Boise, ID 83712

Reassigned Medicare billing, Idaho enrollment
1,312 clinicians in this Medicare group

NPI 1326336058 (208) 381-2222

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

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 83642 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

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 10

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

TYLER T BIRCH D.O.

Internal Medicine