MARLO PICHARDO PAC
NPI 1699842021
Physician Assistant in Eagle, ID

Q: What is Marlo Pichardo's NPI number?

The NPI number for Marlo Pichardo is 1699842021. It was assigned to this individual provider in the NPPES registry on November 29, 2006. The provider is also known as Marlo Smith PA.

Q: What is Marlo Pichardo'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 Marlo Pichardo was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 November 29, 2006PECOS EnrolledAccepts Medicare Assignment

408 S EAGLE RD STE 205, EAGLE, ID 83616(208) 740-8797(530) 237-0772 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 20, 2024, May 16, 2023, Jul 22, 2020 and 3 more (6 updates tracked since 2016).

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About Marlo Pichardo Pac NPPES

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

MARLO PICHARDO PAC (NPI 1699842021) is an individual physician assistant in Eagle, Idaho, licensed in Idaho (PA-1898) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Nampa Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1699842021

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARLO PICHARDOCredential: PAC

Location Address408 S EAGLE RD STE 205Eagle, ID 83616-6079

Mailing Address408 S Eagle Rd Ste 205Eagle, ID 83616-6079 · (208) 740-8797 · Fax (530) 237-0772

Phone(208) 740-8797

Fax(530) 237-0772

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateNovember 29, 2006

Last NPPES UpdateFebruary 13, 20266 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2026

✔ NPI 1699842021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in ID · PA-1898✔ Licensed in FL · PA9102903

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.

408 S EAGLE RD STE 205, Eagle, ID 83616

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Other Names 1

Other Name (5)Marlo Smith Pa

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

Marlo Pichardo Pac 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 ID3577509793

PECOS Enrollment IDI20200728003160

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.

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

36 services19 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

28 services17 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83616 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 6

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

SPRING CHUMANI BEAN RD

Dietitian, Registered