ROBERT TUCKER BOTKIN PMHNP
NPI 1720715998
Nurse Practitioner - Psychiatric/Mental Health in Boise, ID

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since August 06, 2022PECOS Enrolled

1075 E PARK BLVD, BOISE, ID 83712(208) 381-5970 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 14, 2022, Aug 6, 2022 (2 updates tracked since 2022).

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About Robert Tucker Botkin Pmhnp NPPES

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

ROBERT TUCKER BOTKIN PMHNP (NPI 1720715998) is an individual psychiatric/mental health provider in Boise, Idaho, licensed in Idaho (73537) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1720715998

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameROBERT TUCKER BOTKINCredential: PMHNP

Location Address1075 E PARK BLVDBoise, ID 83712-7722

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 381-5970

Sole ProprietorNo

Enumeration DateAugust 6, 2022

Last NPPES UpdateOctober 14, 20222 updates tracked since enumeration

NPPES CertifiedOctober 14, 2022

✔ NPI 1720715998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ID · 73537

1075 E PARK BLVD, Boise, ID 83712

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Secondary Practice Location 1

Location 17624 W Ustick RdBoise, ID 83704-5843 · Phone (208) 794-0073

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Tucker Botkin Pmhnp 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 83712 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.