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MISS AUTUMN L MARTIN PA
NPI 1578043865
Physician Assistant in Boise, ID

Active since August 16, 2018PECOS Enrolled
500 W FORT ST, # 111, BOISE, ID 83702(208) 422-1000(208) 422-1319 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Autumn L Martin Pa NPPES

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

MISS AUTUMN L MARTIN PA (NPI 1578043865) is an individual physician assistant in Boise, Idaho, licensed in (PA-1632) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578043865
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS AUTUMN L MARTINCredential: PA
Location Address500 W FORT ST, # 111Boise, ID 83702-4501
Mailing Address2150 E Star LnMeridian, ID 83646-5516 · (208) 484-3740
Phone(208) 422-1000
Fax(208) 422-1319
Sole ProprietorYes
Enumeration DateAugust 16, 2018
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1578043865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · PA-1632
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
500 W FORT ST, Boise, ID 83702
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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)

Miss Autumn L Martin Pa 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 83702 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
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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.

JESSICA ANN BERNOTSKI RDH
Dental Hygienist
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
ROBERT FISHER
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1092
LUKE DANIEL HANSEN MD
Psychiatry & Neurology (Psychiatry)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
CHRISTOPHER M GUTIERREZ
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
DR. MICHAEL GLOVER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
500 W FORT ST, MAIL CODE #112
BOISE, ID 83702
Ada County (208) 422-1000
DR. ANN DECKER TROTTER PHD
Psychologist (Clinical)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
REBECCA COTTERELL RN-BC, BSN
Registered Nurse
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
PHILIP RESIN ELACKATT RN
Registered Nurse (Pain Management)
500 W FORT ST
BOISE, ID 83702
Ada County (986) 256-1766

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 Autumn Martin's NPI number?

The NPI number for Autumn Martin is 1578043865. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Where is Autumn Martin located?

Autumn Martin practices at 500 W Fort St # 111, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Autumn Martin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Autumn Martin enrolled in Medicare?

Yes. Autumn Martin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Autumn Martin was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.