JOSE ANTONIO CORONADO APRN-CNP
NPI 1720802218
Nurse Practitioner - Acute Care in Boise, ID

Active since November 11, 2024PECOS EnrolledAccepts Medicare Assignment
6051 W EMERALD ST, BOISE, ID 83704(208) 302-5150 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2024, Nov 11, 2024 (2 updates tracked since 2024).

About Jose Antonio Coronado Aprn-cnp NPPES

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

JOSE ANTONIO CORONADO APRN-CNP (NPI 1720802218) is an individual acute care provider in Boise, Idaho, licensed in Idaho (7161377) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720802218
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJOSE ANTONIO CORONADOCredential: APRN-CNP
Location Address6051 W EMERALD STBoise, ID 83704-8969
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 11, 2024
Last NPPES UpdateDecember 27, 20242 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
NPI 1720802218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in ID · 7161377
6051 W EMERALD ST, Boise, ID 83704

Accepted 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

Jose Antonio Coronado Aprn-cnp 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 ID6002343001
PECOS Enrollment IDI20250102000907
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

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

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.

Nurse Practitioner (Family)
6051 W EMERALD ST
BOISE, ID 83704
Family Medicine
6051 W EMERALD ST
BOISE, ID 83704
Physician Assistant
6051 W EMERALD ST
BOISE, ID 83704
Emergency Medicine
6051 W EMERALD ST
BOISE, ID 83704
Nurse Practitioner (Family)
6051 W EMERALD ST
BOISE, ID 83704
Preventive Medicine (Occupational Medicine)
6051 W EMERALD ST
BOISE, ID 83704
Nurse Practitioner (Family)
6051 W EMERALD ST
BOISE, ID 83704
Nurse Practitioner (Family)
6051 W EMERALD ST
BOISE, ID 83704

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 Jose Coronado's NPI number?

The NPI number for Jose Coronado is 1720802218. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Where is Jose Coronado located?

Jose Coronado practices at 6051 W Emerald St, Boise, ID 83704. The listed phone number is (208) 302-5150.

What is Jose Coronado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jose Coronado enrolled in Medicare?

Yes. Jose Coronado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jose Coronado accept?

Health plans from Moda Health Plan, Inc. list Jose Coronado 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.

Is Jose Coronado affiliated with any hospitals?

According to CMS data, Jose Coronado is affiliated with Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Coronado was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.