VIDA VRECA-PONNEQUIN FNP-BC
NPI 1316314693
Nurse Practitioner - Family in Nampa, ID
About Vida Vreca-ponnequin Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIDA VRECA-PONNEQUIN FNP-BC (NPI 1316314693) is an individual family provider in Nampa, Idaho, licensed in Idaho (64975) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Merced, and is a graduate of Southern California College Of Optometry (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Vida Vreca-ponnequin Fnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Vida Vreca-ponnequin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Meridian, ID 83642
- Reassigned Medicare billing, Idaho enrollment
- 8 clinicians in this Medicare group
Nyssa, OR 97913
- Reassigned Medicare billing, Oregon enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83651 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
NAMPA, ID 83651
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 Vida Vreca-ponnequin's NPI number?
The NPI number for Vida Vreca-ponnequin is 1316314693. It was assigned to this individual provider in the NPPES registry on August 21, 2015.
Where is Vida Vreca-ponnequin located?
Vida Vreca-ponnequin practices at 207 1st St S, Nampa, ID 83651. The listed phone number is (208) 466-7869.
What is Vida Vreca-ponnequin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Vida Vreca-ponnequin enrolled in Medicare?
Yes. Vida Vreca-ponnequin 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 organizations bill Medicare for Vida Vreca-ponnequin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vida Vreca-ponnequin reassigns Medicare benefits to 2 organizations: Ancora Hospice & Palliative Services, LLC (Meridian, ID) and Malheur Memorial Health Center (Nyssa, OR). Each 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 Vida Vreca-ponnequin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Vida Vreca-ponnequin was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Vida Vreca-Ponnequin, FNP-BC · NPI 1316314693
Family physician in Nampa, Idaho. Individual provider, active in the CMS NPPES registry since August 21, 2015.
## Identity
- **NPI:** 1316314693 (Entity type: Individual)
- **Enumerated:** August 21, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 64975 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 207 1ST ST S, Nampa, ID 83651-3703
- **Phone:** (208) 466-7869 · **Fax:** (208) 466-5359
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ancora Hospice & Palliative Services, LLC (NPI 1558079566, Meridian, ID); Malheur Memorial Health Center (NPI 1245382696, Nyssa, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern California College Of Optometry, class of 2015
## Record status
- **NPPES last updated:** July 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316314693) · Data from the CMS NPPES public registry.