JOSE ANTONIO CORONADO APRN-CNP
NPI 1720802218
Nurse Practitioner - Acute Care in Boise, ID
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jose Coronado reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boise, ID 83706
- Reassigned Medicare billing, Idaho enrollment
- 781 clinicians in this Medicare group
Ontario, OR 97914
- Reassigned Medicare billing, Idaho enrollment
- 67 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.
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, IDPhysician 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.
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.
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.
Which organizations bill Medicare for Jose Coronado's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Coronado reassigns Medicare benefits to 2 organizations: Saint Alphonsus Regional Medical Center Inc (Boise, ID) and Saint Alphonsus Medical Center- Ontario Inc (Ontario, OR). Each 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 Jose Coronado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jose Coronado accept?
Health plans from Moda Health Plan, Inc. and Molina Healthcare 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 22 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.
# Jose Antonio Coronado, APRN-CNP · NPI 1720802218
Acute Care physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since November 11, 2024.
## Identity
- **NPI:** 1720802218 (Entity type: Individual)
- **Enumerated:** November 11, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 7161377 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6051 W EMERALD ST, Boise, ID 83704-8969
- **Phone:** (208) 302-5150
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saint Alphonsus Regional Medical Center Inc (NPI 1649357716, Boise, ID); Saint Alphonsus Medical Center- Ontario Inc (NPI 1093034159, Ontario, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 27, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1720802218) · Data from the CMS NPPES public registry.