TINA MONIQUE BOSSOLONO-WILLIAMS
NPI 1891264545
Nurse Practitioner - Primary Care in Nampa, ID

Active since November 23, 2018PECOS EnrolledAccepts Medicare Assignment
1510 12TH AVE RD STE 200, NAMPA, ID 83686(208) 302-6800(208) 302-6855 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2024, May 15, 2024, May 9, 2024 and 2 more (5 updates tracked since 2018).

About Tina Monique Bossolono-williams NPPES

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

TINA MONIQUE BOSSOLONO-WILLIAMS (NPI 1891264545) is an individual primary care provider in Nampa, Idaho, licensed in Idaho (40406) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1891264545
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTINA MONIQUE BOSSOLONO-WILLIAMS
Location Address1510 12TH AVE RD STE 200Nampa, ID 83686-6946
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 236-5170 · Fax (208) 367-5180
Fax(208) 302-6855
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 23, 2018
Last NPPES UpdateSeptember 30, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
NPI 1891264545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in ID · 40406
1510 12TH AVE RD STE 200, Nampa, ID 83686

Secondary Practice Locations 3

Location 11385 Parkview Dr Ste 101Twin Falls, ID 83301-4084 · Phone (208) 944-0497
Location 2512 E Elm StCaldwell, ID 83605-4871 · Phone (208) 370-7004
Location 36051 W Emerald StBoise, ID 83704-8969 · Phone (208) 302-5150 · Fax (208) 302-5155

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

Tina Monique Bossolono-williams 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 ID9638418031
PECOS Enrollment IDI20190301001302
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 3

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 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.
55 services44 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.
36 services29 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

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

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$184.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tina Bossolono-williams's NPI number?

The NPI number for Tina Bossolono-williams is 1891264545. It was assigned to this individual provider in the NPPES registry on November 23, 2018.

Where is Tina Bossolono-williams located?

Tina Bossolono-williams practices at 1510 12th Ave Rd Ste 200, Nampa, ID 83686. The listed phone number is (208) 302-6800.

What is Tina Bossolono-williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Tina Bossolono-williams enrolled in Medicare?

Yes. Tina Bossolono-williams 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 Tina Bossolono-williams accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Tina Bossolono-williams 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 Tina Bossolono-williams affiliated with any hospitals?

According to CMS data, Tina Bossolono-williams is affiliated with Saint Alphonsus Regional Medical Center and Saint Alphonsus Medical Center - Nampa.

When was this NPI record last updated?

The NPPES record for Tina Bossolono-williams was last updated on September 30, 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.