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PATRICIA M. AVANCENA MD-PHD
NPI 1235691478
Internal Medicine - Medical Oncology in Boise, ID

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
1055 N CURTIS RD, BOISE, ID 83706(208) 367-3131(208) 367-3174 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2025, Apr 5, 2019 (2 updates tracked since 2019).

About Patricia M. Avancena Md-phd NPPES

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

PATRICIA M. AVANCENA MD-PHD (NPI 1235691478) is an individual medical oncology provider in Boise, Idaho, licensed in Idaho (6271863) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1235691478
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NamePATRICIA M. AVANCENACredential: MD-PHD
Location Address1055 N CURTIS RDBoise, ID 83706-1309
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180
Phone(208) 367-3131
Fax(208) 367-3174
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 5, 2019
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1235691478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in ID · 6271863
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1055 N CURTIS RD, Boise, ID 83706
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 E 77th StNew York, NY 10075-1850 · Phone (212) 434-2140

Accepted Insurance

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

Patricia M. Avancena Md-phd 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 ID5890022651
PECOS Enrollment IDI20251007003533
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 Patricia Avancena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Alphonsus Regional Medical Center Inc
Same address
Psychologist
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 781 clinicians in this Medicare group
NPI 1649357716 (208) 367-4148

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 2

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

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 83706 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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
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.

DR. MAUREEN A NEWMAN M.D.
Family Medicine (Hospice and Palliative Medicine)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 302-5480
JESSICA A EVERT MD
Family Medicine
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-7350
KRISTIE KAES LCSW
Social Worker (Clinical)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2121
DR. MICHEAL GEORGE ADONDAKIS MD
Radiology (Diagnostic Radiology)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2121
JACQUELINE STEAN
Nurse Practitioner
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-3221
DR. JAMES ROBERT POLK MD
Internal Medicine (Rheumatology)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-3104
MATTHEW JUDD D.O.
Emergency Medicine
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 322-1730
IAN MICHAEL WOOD PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2166

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 Patricia Avancena's NPI number?

The NPI number for Patricia Avancena is 1235691478. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Patricia Avancena located?

Patricia Avancena practices at 1055 N Curtis Rd, Boise, ID 83706. The listed phone number is (208) 367-3131.

What is Patricia Avancena's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Patricia Avancena enrolled in Medicare?

Yes. Patricia Avancena 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.

Which organization bills Medicare for Patricia Avancena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Avancena reassigns Medicare benefits to Saint Alphonsus Regional Medical Center Inc (Boise, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Avancena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Avancena accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, Providence Health Plan and Select Health list Patricia Avancena 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 Patricia Avancena affiliated with any hospitals?

According to CMS data, Patricia Avancena is affiliated with St Luke's Regional Medical Center and Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Patricia Avancena was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.