TYLIE DANIELLE ROMAN CNP
NPI 1740981943
Nurse Practitioner - Gerontology in Nampa, ID

Active since March 14, 2023PECOS EnrolledAccepts Medicare Assignment
1510 12TH AVE RD STE 200, NAMPA, ID 83686(208) 302-6000(208) 302-5455 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tylie Danielle Roman Cnp NPPES

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

TYLIE DANIELLE ROMAN CNP (NPI 1740981943) is an individual gerontology provider in Nampa, Idaho, licensed in Idaho (60660) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Eagle.

NPPES Registry Identity

NPI1740981943
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTYLIE DANIELLE ROMANCredential: CNP
Location Address1510 12TH AVE RD STE 200Nampa, ID 83686-6946
Mailing Address3340 E Goldstone DrMeridian, ID 83642-1026 · (208) 367-5170 · Fax (208) 367-5180
Fax(208) 302-5455
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 14, 2023
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
NPI 1740981943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in ID · 60660
Also ListedRegistered NurseTaxonomy 163W00000X · License 60660 (ID)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 60660 (ID)
1510 12TH AVE RD STE 200, Nampa, ID 83686

Secondary Practice Location 1

Location 1323 E Riverside Dr Ste 224Eagle, ID 83616-6865 · Phone (208) 302-6000 · Fax (208) 302-6055

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

Tylie Danielle Roman 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 ID5092171231
PECOS Enrollment IDI20230515001240
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
134 services87 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
123 services87 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
86 services86 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

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

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Ontario

Acute Care Hospitals · Ontario, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380052
Location351 SW 9th StreetOntario, OR 97914 · Malheur County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83686 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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1510 12TH AVE RD STE 200
NAMPA, ID 83686
Family Medicine
1510 12TH AVE RD STE 200
NAMPA, ID 83686
Family Medicine
1510 12TH AVE RD STE 200
NAMPA, ID 83686
Physician Assistant
1510 12TH AVE RD STE 200
NAMPA, ID 83686
Physician Assistant
1510 12TH AVE RD STE 200
NAMPA, ID 83686
Family Medicine
1510 12TH AVE RD STE 200
NAMPA, ID 83686
Dietitian, Registered
1510 12TH AVE RD STE 200
NAMPA, ID 83686
Pediatrics
1510 12TH AVE RD STE 200
NAMPA, ID 83686

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 Tylie Roman's NPI number?

The NPI number for Tylie Roman is 1740981943. It was assigned to this individual provider in the NPPES registry on March 14, 2023.

Where is Tylie Roman located?

Tylie Roman practices at 1510 12th Ave Rd Ste 200, Nampa, ID 83686. The listed phone number is (208) 302-6000.

What is Tylie Roman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Tylie Roman enrolled in Medicare?

Yes. Tylie Roman 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 Tylie Roman accept?

Health plans from Providence Health Plan list Tylie Roman 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 Tylie Roman affiliated with any hospitals?

According to CMS data, Tylie Roman is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa and Saint Alphonsus Medical Center - Ontario.

When was this NPI record last updated?

The NPPES record for Tylie Roman was last updated on January 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.