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

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: October 25, 2026.

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
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

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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Nicholas Packer reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
164 S 5TH ST
Montpelier, ID 83254
  • Reassigned Medicare billing, Idaho enrollment
  • 32 clinicians in this Medicare group
Surgery
44 N 100 E
Preston, ID 83263
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1497865315 (Idaho)
  • 109 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
2302 E TERRY ST
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 159 clinicians in this Medicare group
Rural Health
718 HWY 30
Buhl, ID 83316
  • Reassigned Medicare billing, Idaho enrollment
  • 180 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.

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.

Nurse Practitioner (Family)
164 S 5TH ST
MONTPELIER, ID 83254
Physical Therapist
164 S 5TH ST
MONTPELIER, ID 83254
Physician Assistant
164 S 5TH ST
MONTPELIER, ID 83254
Physical Therapist (Orthopedic)
164 S 5TH ST
MONTPELIER, ID 83254
Dietitian, Registered
164 S 5TH ST
MONTPELIER, ID 83254
General Acute Care Hospital (Critical Access)
164 S 5TH ST
MONTPELIER, ID 83254
Orthopaedic Surgery
164 S 5TH ST
MONTPELIER, ID 83254
Social Worker
164 S 5TH ST
MONTPELIER, ID 83254

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 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.

Where is Nicholas Packer located?

Nicholas Packer practices at 164 S 5th St, Montpelier, ID 83254. The listed phone number is (208) 847-1110.

What is Nicholas Packer's specialty?

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

Is Nicholas Packer enrolled in Medicare?

Yes. Nicholas Packer 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 Nicholas Packer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Packer reassigns Medicare benefits to 4 organizations: Bear Lake County Memorial Hospital (Montpelier, ID), Ihc Health Services Inc (Preston, ID), Bmh, Inc (Pocatello, ID) and North Canyon Medical Center, Inc. (Buhl, ID). 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 Nicholas Packer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Packer accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Nicholas Packer 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 Nicholas Packer affiliated with any hospitals?

According to CMS data, Nicholas Packer is affiliated with North Canyon Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Packer was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.