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NICOLAS EMMANUEL ECHON REYES PA
NPI 1760114425
Physician Assistant in Boise, ID

Active since June 29, 2022PECOS EnrolledAccepts Medicare Assignment
6051 W EMERALD ST, BOISE, ID 83704(208) 303-2515(208) 302-5155 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2024, Sep 17, 2024, Aug 9, 2024 (3 updates tracked since 2024).

About Nicolas Emmanuel Echon Reyes Pa NPPES

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

NICOLAS EMMANUEL ECHON REYES PA (NPI 1760114425) is an individual physician assistant in Boise, Idaho, licensed in Idaho (9561370) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Nampa, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1760114425
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICOLAS EMMANUEL ECHON REYESCredential: PA
Location Address6051 W EMERALD STBoise, ID 83704-8969
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180
Phone(208) 303-2515
Fax(208) 302-5155
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 29, 2022
Last NPPES UpdateOctober 4, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1760114425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · 9561370
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6051 W EMERALD ST, Boise, ID 83704
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Secondary Practice Location 1

Location 1207 1st St SNampa, ID 83651-3703 · Phone (208) 466-7869

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health.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

Nicolas Emmanuel Echon Reyes Pa 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 ID2769913490
PECOS Enrollment IDI20241004000715
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
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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.

BETHANY KENDALL MAZE FNP
Nurse Practitioner (Family)
6051 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-5150
DR. ARTHUR C JONES IV MD
Family Medicine
6051 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-5150
GRETCHEN VETTER PA
Physician Assistant
6051 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-5150
RYAN BRENT UDINK D.O.
Emergency Medicine
6051 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-5150
MAJLA HUSIC NP
Nurse Practitioner (Family)
6051 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-5100
DR. SHANE NATHANIEL MCCAULEY MD
Preventive Medicine (Occupational Medicine)
6051 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-7600
ALESSANDRA LONGORIA FNP-C
Nurse Practitioner (Family)
6051 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-5150
ROSA HICKMAN NP
Nurse Practitioner (Family)
6051 W EMERALD ST
BOISE, ID 83704
Ada County (208) 302-5150

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 Nicolas Reyes's NPI number?

The NPI number for Nicolas Reyes is 1760114425. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Nicolas Reyes located?

Nicolas Reyes practices at 6051 W Emerald St, Boise, ID 83704. The listed phone number is (208) 303-2515.

What is Nicolas Reyes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicolas Reyes enrolled in Medicare?

Yes. Nicolas Reyes 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 Nicolas Reyes accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Nicolas Reyes 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 Nicolas Reyes was last updated on October 4, 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.