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: July 19, 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
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

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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 83702 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.13
  • Minimum New Patient Price $52.44
  • Maximum New Patient Price $160.17
  • Average New Patient Copayment $20.28
  • Minimum New Patient Copayment $13.11
  • Maximum New Patient Copayment $40.04

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $65.77
  • Minimum Established Patient Price $16.68
  • Maximum Established Patient Price $130.93
  • Average Established Patient Copayment $16.44
  • Minimum Established Patient Copayment $4.17
  • Maximum Established Patient Copayment $32.73

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


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

Internal Medicine
500 W. FORT ST., VA MEDICAL CENTER
BOISE, ID 83702
Social Worker (Clinical)
500 W. FORT ST., BLDG.114
BOISE, ID 83702
Community/Behavioral Health
500 W. FORT ST.
BOISE, ID 83702
Internal Medicine (Cardiovascular Disease)
500 W. FORT ST., #111
BOISE, ID 83702
Internal Medicine (Hematology & Oncology)
500 W. FORT ST., # 111
BOISE, ID 83702
Family Medicine
500 W. FORT ST., # 111
BOISE, ID 83702
Family Medicine
500 W. FORT ST., # 111
BOISE, ID 83702
Internal Medicine
500 W. FORT ST., # 111
BOISE, ID 83702
Family Medicine
500 W. FORT ST., # 111
BOISE, ID 83702
Physician Assistant (Medical)
500 W. FORT ST., # 111
BOISE, ID 83702
Physician Assistant (Medical)
500 W. FORT ST., # 111
BOISE, ID 83702
Internal Medicine
500 W. FORT ST., # 111
BOISE, ID 83702
Internal Medicine (Critical Care Medicine)
500 W. FORT ST., MAIL CODE 111
BOISE, ID 83702
Nurse Practitioner
500 W. FORT ST., # 111
BOISE, ID 83702
Physician Assistant
500 W. FORT ST., # 111
BOISE, ID 83702
Internal Medicine (Infectious Disease)
500 W. FORT ST., # 111
BOISE, ID 83702
Physician Assistant (Medical)
500 W. FORT ST., # 111
BOISE, ID 83702
Internal Medicine
500 W. FORT ST., # 111
BOISE, ID 83702
Emergency Medicine
500 W. FORT ST., # 111
BOISE, ID 83702
Internal Medicine (Pulmonary Disease)
500 W. FORT ST., # 111
BOISE, ID 83702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700813714, enumerated as an "individual" on June 26, 2006.

The provider is located at 500 W. FORT ST. CLC BOISE, ID 83702 and the phone number is (208) 422-1000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.