SAMANTHA KAITLIN LEGAULT FNP-C
NPI 1205658978
Nurse Practitioner - Family in Boise, ID

Active since October 24, 2024PECOS EnrolledAccepts Medicare Assignment
6933 W EMERALD ST, BOISE, ID 83704(208) 321-0634 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Kaitlin Legault Fnp-c NPPES

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

SAMANTHA KAITLIN LEGAULT FNP-C (NPI 1205658978) is an individual family provider in Boise, Idaho, licensed in Idaho (8861276) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205658978
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA KAITLIN LEGAULTCredential: FNP-C
Location Address6933 W EMERALD STBoise, ID 83704-8616
Mailing Address7848 W Mcmullen StBoise, ID 83709-0839 · (208) 353-2928
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1205658978 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 · 8861276
6933 W EMERALD ST, Boise, ID 83704

Accepted 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

Samantha Kaitlin Legault 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 ID3779017256
PECOS Enrollment IDI20241106001119
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.

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 83704 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 10

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

Nurse Practitioner (Family)
6933 W EMERALD ST
BOISE, ID 83704
Social Worker
6933 W EMERALD ST
BOISE, ID 83704
Counselor
6933 W EMERALD ST
BOISE, ID 83704
Counselor (Mental Health)
6933 W EMERALD ST
BOISE, ID 83704
Counselor
6933 W EMERALD ST
BOISE, ID 83704
Counselor (Mental Health)
6933 W EMERALD ST
BOISE, ID 83704
Peer Specialist
6933 W EMERALD ST
BOISE, ID 83704
Counselor (Mental Health)
6933 W EMERALD ST
BOISE, ID 83704

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 Samantha Legault's NPI number?

The NPI number for Samantha Legault is 1205658978. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Where is Samantha Legault located?

Samantha Legault practices at 6933 W Emerald St, Boise, ID 83704. The listed phone number is (208) 321-0634.

What is Samantha Legault's specialty?

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

Is Samantha Legault enrolled in Medicare?

Yes. Samantha Legault 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 Samantha Legault accept?

Health plans from Providence Health Plan list Samantha Legault 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.

Is Samantha Legault affiliated with any hospitals?

According to CMS data, Samantha Legault is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Legault was last updated on October 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.