BECKY M BAUTCH AGACNP-BC
NPI 1225432842
Nurse Practitioner - Acute Care in Mountain Home Afb, ID

Q: What is Becky Bautch's NPI number?

The NPI number for Becky Bautch is 1225432842. It was assigned to this individual provider in the NPPES registry on October 9, 2014.

Q: What is Becky Bautch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Becky Bautch was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 09, 2014PECOS Enrolled

90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648(208) 828-7900 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2023, Aug 20, 2020, Oct 9, 2019 and 1 more (4 updates tracked since 2018).

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About Becky M Bautch Agacnp-bc NPPES

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

BECKY M BAUTCH AGACNP-BC (NPI 1225432842) is an individual acute care provider in Mountain Home Afb, Idaho, licensed in Minnesota (1424) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225432842

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameBECKY M BAUTCHCredential: AGACNP-BC

Location Address90 HOPE DR BLDG 6000Mountain Home Afb, ID 83648-1062

Mailing Address90 Hope Dr Bldg 6000Mountain Home Afb, ID 83648-1062 · (082) 828-7900

Phone(208) 828-7900

Sole ProprietorNo

Enumeration DateOctober 9, 2014

Last NPPES UpdateJuly 28, 20234 updates tracked since enumeration

NPPES CertifiedJuly 28, 2023

✔ NPI 1225432842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MN · 1424

Also ListedRegistered NurseTaxonomy 163W00000X · License 1590072 (MN)

Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License 477 (MN)

90 HOPE DR BLDG 6000, Mountain Home Afb, ID 83648

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Becky M Bautch Agacnp-bc 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 83648 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.

SHANNON L WILSON LCSW

Social Worker (Clinical)