ADRIAN AVILA RN, NP
NPI 1619545936
Nurse Practitioner - Psychiatric/Mental Health in Caldwell, ID

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment
314 BADIOLA ST, CALDWELL, ID 83605(541) 539-1124 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2022, Jun 14, 2021 (2 updates tracked since 2021).

About Adrian Avila Rn, Np NPPES

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

ADRIAN AVILA RN, NP (NPI 1619545936) is an individual psychiatric/mental health provider in Caldwell, Idaho, licensed in Idaho (53602) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boise, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619545936
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameADRIAN AVILACredential: RN, NP
Location Address314 BADIOLA STCaldwell, ID 83605-4389
Mailing Address314 Badiola StCaldwell, ID 83605-4389 · (541) 539-1124
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 14, 2021
Last NPPES UpdateJuly 13, 20222 updates tracked since enumeration
NPPES CertifiedJuly 13, 2022
✔ NPI 1619545936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 53602
314 BADIOLA ST, Caldwell, ID 83605

Secondary Practice Location 1

Location 14477 W Emerald St Ste C100Boise, ID 83706-2058 · Phone (208) 321-0160

Other Identifiers 1

Other53602ID · Idaho Board Of Nursing

Accepted 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

Adrian Avila Rn, Np 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 ID4880097435
PECOS Enrollment IDI20211027002625
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 Reassignments

2

Medicare enrollment records show Adrian Avila reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
6933 W EMERALD ST
Boise, ID 83704
  • Reassigned Medicare billing, Idaho enrollment
  • 22 clinicians in this Medicare group
Psychiatry
6737 E DEER RIDGE ST
Boise, ID 83716
  • Reassigned Medicare billing, Idaho enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.
66 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
314 BADIOLA ST
CALDWELL, ID 83605
Social Worker (Clinical)
314 BADIOLA ST
CALDWELL, ID 83605
Social Worker (Clinical)
314 BADIOLA ST
CALDWELL, ID 83605
Social Worker
314 BADIOLA ST
CALDWELL, ID 83605
Social Worker
314 BADIOLA ST
CALDWELL, ID 83605
Counselor
314 BADIOLA ST
CALDWELL, ID 83605
Community/Behavioral Health
314 BADIOLA ST
CALDWELL, ID 83605
Case Management
314 BADIOLA ST
CALDWELL, ID 83605

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 Adrian Avila's NPI number?

The NPI number for Adrian Avila is 1619545936. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Adrian Avila located?

Adrian Avila practices at 314 Badiola St, Caldwell, ID 83605. The listed phone number is (541) 539-1124.

What is Adrian Avila's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Adrian Avila enrolled in Medicare?

Yes. Adrian Avila 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 Adrian Avila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adrian Avila reassigns Medicare benefits to 2 organizations: All Horizons Inc (Boise, ID) and Mental Health Clinic Of Idaho PLLC (Boise, ID). 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 Adrian Avila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adrian Avila accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Adrian Avila 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 Adrian Avila was last updated on July 13, 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.