MANDY KAY RENAK FNP-C
NPI 1205241650
Nurse Practitioner - Family in Caldwell, ID

Q: What is Mandy Renak's NPI number?

The NPI number for Mandy Renak is 1205241650. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Q: What is Mandy Renak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mandy Renak was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment

13307 MIAMI LN, CALDWELL, ID 83607(208) 455-5345(208) 454-7722 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mandy Kay Renak Fnp-c NPPES

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

MANDY KAY RENAK FNP-C (NPI 1205241650) is an individual family provider in Caldwell, Idaho, licensed in Idaho (NP1439A) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1205241650

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMANDY KAY RENAKCredential: FNP-C

Location Address13307 MIAMI LNCaldwell, ID 83607-4701

Mailing Address13307 Miami LnCaldwell, ID 83607-4701 · (208) 455-5345 · Fax (208) 454-7722

Phone(208) 455-5345

Fax(208) 454-7722

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJune 24, 2014

✔ NPI 1205241650 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 · NP1439A

13307 MIAMI LN, Caldwell, ID 83607

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Accepted Insurance

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

Mandy Kay Renak Fnp-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 ID4385865955

PECOS Enrollment IDI20141023001232

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

Women's Health Associates, PLLC

23 mi

Obstetrics & Gynecology

333 N 1ST ST, SUITE 240
Boise, ID 83702

Reassigned Medicare billing, Idaho enrollment
30 clinicians in this Medicare group

NPI 1013957885 (208) 338-8900

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.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83607 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 18

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

MRS. JANIE PARKHURST IBCLC

Lactation Consultant, Non-RN