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NICOLE L. AMIDEO PA-C
NPI 1700813714
Physician Assistant in Boise, ID

Active since June 26, 2006PECOS Enrolled
500 W. FORT ST., CLC, BOISE, ID 83702(208) 422-1000(208) 422-1319 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole L. Amideo Pa-c NPPES

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

NICOLE L. AMIDEO PA-C (NPI 1700813714) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-545) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700813714
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE L. AMIDEOCredential: PA-C
Location Address500 W. FORT ST., CLCBoise, ID 83702
Mailing Address500 W. Fort St., ClcBoise, ID 83702 · (208) 422-1000 · Fax (208) 422-1319
Phone(208) 422-1000
Fax(208) 422-1319
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 11, 2022
✔ NPI 1700813714 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-545✔ Licensed in ID · PA545
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.
500 W. FORT ST., Boise, ID 83702
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Other Names 1

Former Name (1)Nicole M. Lenzi Pa-c

Other Identifiers 1

Medicaid807269700ID

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole L. Amideo Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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 20

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

MRS. APRIL MICHELLE THORNDYKE LCSW
Community/Behavioral Health
500 W. FORT ST.
BOISE, ID 83702
Ada County (208) 422-1000
DR. JANAT E. O'DONNELL MD
Internal Medicine (Pulmonary Disease)
500 W. FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1325
MS. SUE MARIE HICKS LCSW, CADC III
Counselor (Addiction (Substance Use Disorder))
500 W. FORT ST., BOISE VAMC
BOISE, ID 83702
Ada County (208) 422-1360
DR. ERIC S JACOBSEN M.D.
Family Medicine
500 W. FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1000
TIMOTHY RICHARD MOORE MD
Internal Medicine (Cardiovascular Disease)
500 W. FORT ST., #111
BOISE, ID 83702
Ada County (208) 422-1000
DANIELLE BURKE PA-C
Physician Assistant (Medical)
500 W. FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1000
SCOTT SMITH MD
Internal Medicine
500 W. FORT ST., VA MEDICAL CENTER
BOISE, ID 83702
Ada County (208) 422-1325
BEATRIZ C.S. SPENCER PA-C
Physician Assistant (Medical)
500 W. FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1000

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 Nicole Amideo's NPI number?

The NPI number for Nicole Amideo is 1700813714. It was assigned to this individual provider in the NPPES registry on June 26, 2006. The provider is also known as Nicole M. Lenzi Pa-C.

Where is Nicole Amideo located?

Nicole Amideo practices at 500 W. Fort St. Clc, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Nicole Amideo's specialty?

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

Is Nicole Amideo enrolled in Medicare?

Yes. Nicole Amideo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Amideo was last updated on March 23, 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.