GAYLE MATSUMURO
NPI 1730712266
Nurse Practitioner in Boise, ID

Active since February 12, 2020PECOS Enrolled
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704(208) 323-1125(208) 323-1905 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2020, Mar 9, 2020, Feb 12, 2020 (3 updates tracked since 2020).

About Gayle Matsumuro NPPES

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

GAYLE MATSUMURO (NPI 1730712266) is an individual nurse practitioner in Boise, Idaho, licensed in Idaho (26983) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730712266
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameGAYLE MATSUMURO
Location Address413 N ALLUMBAUGH ST STE 101Boise, ID 83704-9219
Mailing Address413 N Allumbaugh St Ste 101Boise, ID 83704-9219 · (208) 323-1125 · Fax (208) 323-1905
Fax(208) 323-1905
Sole ProprietorYes
Enumeration DateFebruary 12, 2020
Last NPPES UpdateApril 24, 20203 updates tracked since enumeration
NPPES CertifiedApril 24, 2020
NPI 1730712266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in ID · 26983
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 64061 (ID)
413 N ALLUMBAUGH ST STE 101, Boise, ID 83704

Other Names 1

Professional Name (2)Gayle Matsumuro Pmhnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gayle Matsumuro 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 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.

Social Worker
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704
Psychiatry & Neurology (Child & Adolescent Psychiatry)
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704
Psychiatry & Neurology (Psychiatry)
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704
Psychiatry & Neurology (Psychiatry)
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704
Psychiatry & Neurology (Psychiatry)
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704
Psychiatry & Neurology (Child & Adolescent Psychiatry)
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704
Physician Assistant (Medical)
413 N ALLUMBAUGH ST STE 101
BOISE, ID 83704
Psychiatry & Neurology (Psychiatry)
413 N ALLUMBAUGH ST STE 101
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 Gayle Matsumuro's NPI number?

The NPI number for Gayle Matsumuro is 1730712266. It was assigned to this individual provider in the NPPES registry on February 12, 2020. The provider is also known as Gayle Matsumuro Pmhnp.

Where is Gayle Matsumuro located?

Gayle Matsumuro practices at 413 N Allumbaugh St Ste 101, Boise, ID 83704. The listed phone number is (208) 323-1125.

What is Gayle Matsumuro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gayle Matsumuro enrolled in Medicare?

Yes. Gayle Matsumuro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gayle Matsumuro was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.