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TONI CARLES NP-C
NPI 1144527607
Nurse Practitioner - Family in Boise, ID

Active since February 18, 2011PECOS EnrolledAccepts Medicare Assignment
537 W BANNOCK ST STE 100, BOISE, ID 83702(208) 424-7799 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Toni Carles Np-c NPPES

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

TONI CARLES NP-C (NPI 1144527607) is an individual family provider in Boise, Idaho, licensed in Idaho (NP-1038A) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1144527607
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONI CARLESCredential: NP-C
Location Address537 W BANNOCK ST STE 100Boise, ID 83702-5759
Mailing Address537 W Bannock St Ste 100Boise, ID 83702-5759 · (208) 424-7799
Phone(208) 424-7799
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 18, 2011
Last NPPES UpdateNovember 6, 2024
NPPES CertifiedNovember 6, 2024
✔ NPI 1144527607 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 · NP-1038A
537 W BANNOCK ST STE 100, Boise, ID 83702
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Accepted Insurance

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

Toni Carles Np-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 ID6406131531
PECOS Enrollment IDI20170331001869
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.
185 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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

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

A L P H A CARE
Internal Medicine
537 W BANNOCK ST STE 100
BOISE, ID 83702
Ada County (208) 424-7799

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 Toni Carles's NPI number?

The NPI number for Toni Carles is 1144527607. It was assigned to this individual provider in the NPPES registry on February 18, 2011.

Where is Toni Carles located?

Toni Carles practices at 537 W Bannock St Ste 100, Boise, ID 83702. The listed phone number is (208) 424-7799.

What is Toni Carles's specialty?

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

Is Toni Carles enrolled in Medicare?

Yes. Toni Carles 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 Toni Carles accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Toni Carles 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 Toni Carles was last updated on November 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.