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HALCYON INFUSIONS & THERAPEUTICS, PLLC
NPI 1154188050
Nurse Practitioner - Psychiatric/Mental Health in Nampa, ID

Active since March 06, 2024CLIA 13D2327936 · Waiver
1611 12TH AVE RD STE A, NAMPA, ID 83686(208) 546-3650 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2025, Mar 6, 2024 (2 updates tracked since 2024).

About Halcyon Infusions & Therapeutics, Pllc NPPES

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

HALCYON INFUSIONS & THERAPEUTICS, PLLC (NPI 1154188050) is a healthcare organization registered as a psychiatric/mental health in Nampa, Idaho and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through July 30, 2027 and lists Matthew Fowler, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1154188050
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHALCYON INFUSIONS & THERAPEUTICS, PLLC
Location Address1611 12TH AVE RD STE ANampa, ID 83686-6182
Mailing Address1123 12th Ave Rd # 325Nampa, ID 83686-5738 · (208) 546-3650
Phone(208) 546-3650
Organization SubpartNo
Authorized OfficialMatthew FowlerNurse Practitioner/owner · (208) 546-3650
Enumeration DateMarch 6, 2024
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1154188050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
1611 12TH AVE RD STE A, Nampa, ID 83686
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2327936

Halcyon Infusions & Therapeutics · Nampa, ID
Active · expires Jul 30, 2027
CLIA Number13D2327936
Laboratory TypePractitioner Other
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorMatthew A. Fowler
Laboratory Phone(208) 546-3650
Laboratory LocationHalcyon Infusions & Therapeutics1611 12th Ave Rd Ste A, Nampa, ID 83686
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MATTHEW FOWLER AGNP-C
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 Halcyon Infusions & Therapeutics, PLLC's NPI number?

The NPI number for Halcyon Infusions & Therapeutics, PLLC is 1154188050. It was assigned to this organization in the NPPES registry on March 6, 2024.

Where is Halcyon Infusions & Therapeutics, PLLC located?

Halcyon Infusions & Therapeutics, PLLC is located at 1611 12th Ave Rd Ste A, Nampa, ID 83686. The listed phone number is (208) 546-3650.

What is Halcyon Infusions & Therapeutics, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Halcyon Infusions & Therapeutics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2327936) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Halcyon Infusions & Therapeutics, PLLC accept?

Health plans from Moda Health Plan, Inc. list Halcyon Infusions & Therapeutics, PLLC 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 Halcyon Infusions & Therapeutics, PLLC was last updated on May 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.