NICOLE RANDEL DO
NPI 1710555974
Family Medicine in Boise, ID

Q: What is Nicole Randel's NPI number?

The NPI number for Nicole Randel is 1710555974. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Q: What is Nicole Randel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Randel was last updated on July 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2021PECOS EnrolledAccepts Medicare Assignment

6051 W EMERALD ST, BOISE, ID 83704(208) 302-5100(208) 302-5155 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2024, Jun 25, 2021, Jun 15, 2021 (3 updates tracked since 2021).

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About Nicole Randel Do NPPES

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

NICOLE RANDEL DO (NPI 1710555974) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (O-1911) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Des Moines.

NPPES Registry Identity

NPI1710555974

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLE RANDELCredential: DO

Location Address6051 W EMERALD STBoise, ID 83704-8969

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 302-9342 · Fax (208) 367-5180

Phone(208) 302-5100

Fax(208) 302-5155

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 15, 2021

Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration

NPPES CertifiedJuly 9, 2024

✔ NPI 1710555974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ID · O-1911✔ Licensed in IA · R-12232

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6051 W EMERALD ST, Boise, ID 83704

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Secondary Practice Location 1

Location 11801 Hickman RdDes Moines, IA 50314-1597 · Phone (515) 282-5640 · Fax (515) 282-2332

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Nicole Randel Do 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 ID6305247024

PECOS Enrollment IDI20240725001240

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 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

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.

JOSHUA CHONG DO

Family Medicine