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MRS. DEANNA M PITMAN D.O.
NPI 1639169626
Pediatrics in Nampa, ID

Active since October 21, 2005PECOS Enrolled
215 E HAWAII AVE # 140, NAMPA, ID 83686(208) 514-2502(208) 375-2217 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Deanna M Pitman D.o. NPPES

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

MRS. DEANNA M PITMAN D.O. (NPI 1639169626) is an individual pediatrics provider in Nampa, Idaho, licensed in Idaho (O0368) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639169626
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. DEANNA M PITMANCredential: D.O.
Location Address215 E HAWAII AVE # 140Nampa, ID 83686-6011
Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500 · Fax (208) 375-2217
Phone(208) 514-2502
Fax(208) 375-2217
Sole ProprietorNo
Enumeration DateOctober 21, 2005
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1639169626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ID · O0368
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
215 E HAWAII AVE # 140, Nampa, ID 83686
Open in Google Maps ↗

Other Identifiers 5

Medicaid1639169626ID
Other000010150852ID · Blue Shield
Other75085ID · Blue Cross
Medicaid807228800ID
Other807228900ID · Healthy Connections

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Deanna M Pitman D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show Deanna Pitman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Full Circle Health, Inc.
16 mi
Federally Qualified Health Center (FQHC)
777 N RAYMOND ST
Boise, ID 83704
  • Reassigned Medicare billing, Idaho enrollment
  • 152 clinicians in this Medicare group
NPI 1841490075 (208) 514-2500

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 83686 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 10

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

VAIOLA T GROW MD
Family Medicine
215 E HAWAII AVE # 140
NAMPA, ID 83686
Canyon County (208) 514-2529
GREGORY LEON WOOD FNP
Nurse Practitioner
215 E HAWAII AVE # 140
NAMPA, ID 83686
Canyon County (208) 514-2529
ADAM ENOCK
Physician Assistant
215 E HAWAII AVE # 140
NAMPA, ID 83686
Canyon County (208) 514-2529
BRONWYN C BUTUK DO
Family Medicine
215 E HAWAII AVE # 140
NAMPA, ID 83686
Canyon County (208) 514-2529
JACE ROWLEY DO
Family Medicine
215 E HAWAII AVE # 140
NAMPA, ID 83686
Canyon County (208) 514-2529
CHLOE HIU TUNG LEE
Family Medicine
215 E HAWAII AVE # 140
NAMPA, ID 83686
Canyon County (208) 514-2529
CYNTHIA DANIELA ANNEST LCSW
Social Worker (Clinical)
215 E HAWAII AVE # 140
NAMPA, ID 83686
Canyon County (208) 514-2502
SAMPSON NDE MD
Family Medicine
215 E HAWAII AVE # 140
NAMPA, ID 83686
Canyon County (208) 514-2529

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 Deanna Pitman's NPI number?

The NPI number for Deanna Pitman is 1639169626. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Deanna Pitman located?

Deanna Pitman practices at 215 E Hawaii Ave # 140, Nampa, ID 83686. The listed phone number is (208) 514-2502.

What is Deanna Pitman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Deanna Pitman enrolled in Medicare?

Yes. Deanna Pitman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deanna Pitman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deanna Pitman reassigns Medicare benefits to Full Circle Health, 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 Deanna Pitman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deanna Pitman accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Deanna Pitman 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 Deanna Pitman was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.