ANGEL LEGARE PA-C
NPI 1649770678
Physician Assistant in Nampa, ID

Q: What is Angel Legare's NPI number?

The NPI number for Angel Legare is 1649770678. It was assigned to this individual provider in the NPPES registry on February 16, 2018.

Q: What is Angel Legare's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angel Legare was last updated on April 18, 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.

Active since February 16, 2018PECOS EnrolledAccepts Medicare Assignment

4424 E FLAMINGO AVE STE 110, NAMPA, ID 83687(208) 302-3200(208) 302-3255 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2019, Feb 16, 2018 (2 updates tracked since 2018).

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About Angel Legare Pa-c NPPES

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

ANGEL LEGARE PA-C (NPI 1649770678) is an individual physician assistant in Nampa, Idaho, licensed in Idaho (1150291) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Medical Center - Nampa, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649770678

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANGEL LEGARECredential: PA-C

Location Address4424 E FLAMINGO AVE STE 110Nampa, ID 83687-9291

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170

Phone(208) 302-3200

Fax(208) 302-3255

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2017

Enumeration DateFebruary 16, 2018

Last NPPES UpdateApril 18, 20252 updates tracked since enumeration

NPPES CertifiedApril 18, 2025

✔ NPI 1649770678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ID · 1150291

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

4424 E FLAMINGO AVE STE 110, Nampa, ID 83687

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Secondary Practice Locations 2

Location 11120 15th StAugusta, GA 30912-0004 · Phone (706) 721-4951

Location 2404 Town Park Blvd Ste 101Evans, GA 30809 · Phone (706) 364-5065 · Fax (706) 922-7247

Accepted Insurance

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

Angel Legare Pa-c 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 ID8729330956

PECOS Enrollment IDI20250429003008

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130013

Location4300 E Flamingo AveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83687 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$22.88 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$6.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

ERIC CHRISTOPHER MOSS PA

Physician Assistant