DR. NICHOLAS MERRILL PACKER M.D.
NPI 1891086377
Obstetrics & Gynecology in Montpelier, ID

Q: What is Nicholas Packer's NPI number?

The NPI number for Nicholas Packer is 1891086377. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Q: What is Nicholas Packer's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Packer was last updated on July 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 02, 2011PECOS EnrolledAccepts Medicare Assignment

164 S 5TH ST, MONTPELIER, ID 83254(208) 847-1110(208) 847-0228 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Nicholas Merrill Packer M.d. NPPES

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

DR. NICHOLAS MERRILL PACKER M.D. (NPI 1891086377) is an individual obstetrics & gynecology provider in Montpelier, Idaho, licensed in Idaho (M12921) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with North Canyon Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (2011).

NPPES Registry Identity

NPI1891086377

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. NICHOLAS MERRILL PACKERCredential: M.D.

Location Address164 S 5TH STMontpelier, ID 83254-1557

Mailing Address164 S 5th StMontpelier, ID 83254-1557 · (208) 847-1110 · Fax (208) 847-0228

Phone(208) 847-1110

Fax(208) 847-0228

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2011

Enumeration DateMay 2, 2011

Last NPPES UpdateJuly 27, 2022

NPPES CertifiedJuly 27, 2022

✔ NPI 1891086377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in ID · M12921✔ Licensed in PA · MT198975

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

164 S 5TH ST, Montpelier, ID 83254

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, University of Utah Health Plans.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

Dr. Nicholas Merrill Packer M.d. 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 ID6709108228

PECOS Enrollment IDI20150814014284

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.

North Canyon Medical Center

Critical Access Hospitals · Gooding, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131302

Location267 North Canyon DrGooding, ID 83330 · Gooding County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83254 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

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.

LYNETTE DAWN WILLIAMS RPH

Pharmacist