Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NATHAN R HANNAY DO
NPI 1205522877
Pediatrics in Boise, ID

Q: What is Nathan Hannay's NPI number?

The NPI number for Nathan Hannay is 1205522877. It was assigned to this individual provider in the NPPES registry on April 17, 2023. The provider is also known as Nate Hannay.

Q: What is Nathan Hannay's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Hannay was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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 April 17, 2023PECOS Enrolled

190 E BANNOCK ST, BOISE, ID 83712(208) 381-2645(208) 381-7170 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Nathan R Hannay Do NPPES

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

NATHAN R HANNAY DO (NPI 1205522877) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (7261970) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205522877

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameNATHAN R HANNAYCredential: DO

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-8866

Phone(208) 381-2645

Fax(208) 381-7170

Sole ProprietorNo

Enumeration DateApril 17, 2023

Last NPPES UpdateJuly 14, 2026

NPPES CertifiedJuly 14, 2026

✔ NPI 1205522877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in ID · 7261970

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

190 E BANNOCK ST, Boise, ID 83712

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Other Names 1

Other Name (5)Nate Hannay

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan R Hannay Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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 20

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

NORA M SUAREZ NP

Nurse Practitioner (Neonatal, Critical Care)