JOSEPH RONQUILLO DNP
NPI 1902591399
Nurse Practitioner - Pediatrics in Boise, ID

Active since April 10, 2023PECOS Enrolled
190 E BANNOCK ST, BOISE, ID 83712(208) 381-2222(208) 381-7170 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 9, 2023, Apr 11, 2023 (2 updates tracked since 2023).

About Joseph Ronquillo Dnp NPPES

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

JOSEPH RONQUILLO DNP (NPI 1902591399) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (75784) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902591399
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameJOSEPH RONQUILLOCredential: DNP
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241
Fax(208) 381-7170
Sole ProprietorYes
Enumeration DateApril 10, 2023
Last NPPES UpdateSeptember 18, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2023
NPI 1902591399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in ID · 75784
190 E BANNOCK ST, Boise, ID 83712

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joseph Ronquillo Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 83712 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 20

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

Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712

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 Joseph Ronquillo's NPI number?

The NPI number for Joseph Ronquillo is 1902591399. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Joseph Ronquillo located?

Joseph Ronquillo practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2222.

What is Joseph Ronquillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Joseph Ronquillo enrolled in Medicare?

Yes. Joseph Ronquillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Ronquillo was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.