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TONI SPARKS DNP
NPI 1356454839
Nurse Practitioner - Family in Boise, ID

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
1111 S ORCHARD ST STE 155, BOISE, ID 83705(208) 333-0103(208) 333-0105 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2023, Aug 9, 2022, Oct 12, 2016 and 2 more (5 updates tracked since 2016).

About Toni Sparks Dnp NPPES

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

TONI SPARKS DNP (NPI 1356454839) is an individual family provider in Boise, Idaho, licensed in Idaho (NP458A) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1356454839
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONI SPARKSCredential: DNP
Location Address1111 S ORCHARD ST STE 155Boise, ID 83705-1963
Mailing Address1940 S Bonito Way Ste 190Meridian, ID 83642-5618 · (208) 287-9420
Phone(208) 333-0103
Fax(208) 333-0105
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 17, 2006
Last NPPES UpdateFebruary 22, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1356454839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · NP458A
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License NP-458A (ID)
1111 S ORCHARD ST STE 155, Boise, ID 83705
Open in Google Maps ↗

Other Identifiers 2

Other1342948ID · Medicare
Other1356454839ID · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.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

Toni Sparks Dnp 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 ID9436124963
PECOS Enrollment IDI20040830000107
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
151 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83705 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.

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 Toni Sparks's NPI number?

The NPI number for Toni Sparks is 1356454839. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Toni Sparks located?

Toni Sparks practices at 1111 S Orchard St Ste 155, Boise, ID 83705. The listed phone number is (208) 333-0103.

What is Toni Sparks's specialty?

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

Is Toni Sparks enrolled in Medicare?

Yes. Toni Sparks 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 Toni Sparks accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Toni Sparks 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.

When was this NPI record last updated?

The NPPES record for Toni Sparks was last updated on February 22, 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.