ROBERT TUCKER BOTKIN PMHNP
NPI 1720715998
Nurse Practitioner - Psychiatric/Mental Health in Boise, ID
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Robert Tucker Botkin Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Robert Botkin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boise, ID 83712
- Reassigned Medicare billing, Idaho enrollment
- 1,312 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 Robert Botkin's NPI number?
The NPI number for Robert Botkin is 1720715998. It was assigned to this individual provider in the NPPES registry on August 6, 2022.
Where is Robert Botkin located?
Robert Botkin practices at 1075 E Park Blvd, Boise, ID 83712. The listed phone number is (208) 381-5970.
What is Robert Botkin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Robert Botkin enrolled in Medicare?
Yes. Robert Botkin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Robert Botkin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Botkin reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Botkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Botkin accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Robert Botkin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Robert Botkin was last updated on October 14, 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.
# Robert Tucker Botkin, PMHNP · NPI 1720715998
Psychiatric/Mental Health physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since August 6, 2022.
## Identity
- **NPI:** 1720715998 (Entity type: Individual)
- **Enumerated:** August 6, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 73537 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1075 E PARK BLVD, Boise, ID 83712-7722
- **Phone:** (208) 381-5970
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Lukes Clinic-Treasure Valley LLC (NPI 1326336058, Boise, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720715998) · Data from the CMS NPPES public registry.