ADAM PACKER NP NPI 1669858734

Nurse Practitioner (Family) in Pocatello, ID

NPI 1669858734 Individual Male Years of Experience 7 Nurse Practitioner Family PECOS Enrolled Accepts Medicare Approved Payment

About ADAM PACKER

Adam Packer is a provider established in Pocatello, Idaho and his medical specialization is nurse practitioner (family) with more than 7 years of experience. The NPI number of Adam Packer is 1669858734 and was assigned on July 2015. The practitioner's primary taxonomy code is 363LF0000X with license number NP-1611A (ID). The provider is registered as an individual and his NPI record was last updated 6 years ago.

A nurse practitioner (NP) like Adam Packer Np is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Adam Packer is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Adam Packer is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Mountain View Hospital.

NPI

1669858734

Provider Name ADAM PACKER NP
Provider Location Address777 HOSPITAL WAY POCATELLO, ID 83201
Provider Mailing AddressPO BOX 4168 POCATELLO, ID 83205
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2015
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-30-2015
Last Update Date08-24-2015


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.NP-1611A
License StateID

Business Address

ADAM PACKER NP
777 HOSPITAL WAY
POCATELLO, ID
ZIP 83201
Phone: (208) 239-1029
Fax: (208) 239-3754

Get Directions


Mailing Address

ADAM PACKER NP
PO BOX 4168
POCATELLO, ID
ZIP 83205
Phone: (208) 239-2065
Fax: (208) 239-3754



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4385951037
PECOS Enrollment IDI20150914002010
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Adam Packer is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MOUNTAIN VIEW HOSPITAL2325 CORONADO STREET
IDAHO FALLS, ID 83404
(208) 557-2700Acute Care Hospitals130065

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831184712 LESLIE JEAN MCGOVERN PA-C, MHE, ATC, LAT
Individual
Physician Assistant (Medical)777 HOSPITAL WAY
POCATELLO, ID 83201
(480) 421-9700
1801851589 JUAN JOSE LEON DE LOS RIOS MD
Individual
Anesthesiology (Critical Care Medicine)777 HOSPITAL WAY PORTNEUF HEART AND VASCULAR
POCATELLO, ID 83201
(208) 239-2500
1477501930CDS,PA
Organization
Obstetrics & Gynecology777 HOSPITAL WAY BLDG A, STE 300
POCATELLO, ID 83201
(208) 232-6100
1427008176 TAMMY L SKIDMORE CRNA
Individual
Nurse Anesthetist, Certified Registered777 HOSPITAL WAY
POCATELLO, ID 83201
(208) 239-1000
1801848221DR. KIM LEON COX MD
Individual
Obstetrics & Gynecology777 HOSPITAL WAY BLDG A SUITE 300
POCATELLO, ID 83201
(208) 232-8792
1528010170 JOHN W TATHAM CRNA
Individual
Nurse Anesthetist, Certified Registered777 HOSPITAL WAY
POCATELLO, ID 83201
(208) 239-1000
1659325330 ALEX J BRINGHURST CRNA
Individual
Nurse Anesthetist, Certified Registered777 HOSPITAL WAY
POCATELLO, ID 83201
(208) 239-1000
1295777274PORTNEUF MEDICAL CENTER BEHAVIORAL HEALTH SERVI
Organization
Psychiatric Unit777 HOSPITAL WAY
POCATELLO, ID 83201
(208) 239-1000
1275748089 JARED KENT WILSON PA-C, MPAS, MED, ATC
Individual
Physician Assistant (Surgical)777 HOSPITAL WAY BUILDING A, SUITE 201
POCATELLO, ID 83201
(208) 239-2714
1073715090DR. DANIEL DALLEY SNELL M.D, M.P.H.
Individual
Anesthesiology777 HOSPITAL WAY
POCATELLO, ID 83201
(208) 232-7760
1508003104ROCKY MOUNTAIN EMERGENCY PHYSICIANS, LLC
Organization
Emergency Medicine (Emergency Medical Services)777 HOSPITAL WAY
POCATELLO, ID 83201
(480) 421-9799
1073747929IHC HEALTH SERVICES INC
Organization
Clinic/Center (Multi-Specialty)777 HOSPITAL WAY
POCATELLO, ID 83201
(801) 507-3500
1215165485POCATELLO HEALTH SERVICES, LLC
Organization
General Acute Care Hospital777 HOSPITAL WAY
POCATELLO, ID 83201
(208) 239-2065
1003128265MS. EUNICE GRACE GARDNER PH.D.
Individual
Psychologist (Adult Development & Aging)777 HOSPITAL WAY
POCATELLO, ID 83201
(208) 239-1710
1225330954 NICHOLAS STODDARD CRNA
Individual
Nurse Anesthetist, Certified Registered777 HOSPITAL WAY
POCATELLO, ID 83201
(208) 232-7760
1275836157MRS. DEBRA LYNN RODRIGUEZ CNS
Individual
Clinical Nurse Specialist (Adult Health)777 HOSPITAL WAY
POCATELLO, ID 83201
(208) 239-1000
1447541487 TYLER HEPWORTH PA
Individual
Physician Assistant (Medical)777 HOSPITAL WAY
POCATELLO, ID 83201
(480) 421-9700
1154690543MRS. JOANNA KELLEY DAVIDSON M.S., R.D., L.D.
Individual
Dietitian, Registered777 HOSPITAL WAY BUILDING A, SUITE 201
POCATELLO, ID 83201
(208) 239-2737
1982979936MR. GUSTIN ROSS BLAD FNP-BC
Individual
Nurse Practitioner (Family)777 HOSPITAL WAY
POCATELLO, ID 83201
(208) 239-1000
1417210568PORTNEUF MEDICAL CENTER
Organization
General Acute Care Hospital (Critical Access)777 HOSPITAL WAY
POCATELLO, ID 83201
(208) 239-2260

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.