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ANDREA D AXTELL MD
NPI 1922298678
Internal Medicine in Eagle, ID

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment
323 E RIVERSIDE DR STE 224, EAGLE, ID 83616(208) 302-6000(208) 302-6055 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 18, 2025, Jun 6, 2017 (2 updates tracked since 2017).

About Andrea D Axtell Md NPPES

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

ANDREA D AXTELL MD (NPI 1922298678) is an individual internal medicine provider in Eagle, Idaho, licensed in Idaho (M11047) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1922298678
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANDREA D AXTELLCredential: MD
Location Address323 E RIVERSIDE DR STE 224Eagle, ID 83616-6865
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 302-9342 · Fax (208) 367-5180
Phone(208) 302-6000
Fax(208) 302-6055
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2007
Enumeration DateJuly 30, 2007
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1922298678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in ID · M11047✔ Licensed in OR · LL17364
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
323 E RIVERSIDE DR STE 224, Eagle, ID 83616
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Other Names 1

Former Name (1)Andrea Dawn Haley

Secondary Practice Location 1

Location 1520 S Eagle Rd, Ste 3102Meridian, ID 83642-6351 · Phone (208) 706-5100 · Fax (208) 706-5169

Accepted Insurance

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

Andrea D Axtell Md 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 ID2860687191
PECOS Enrollment IDI20101112000382
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 Reassignment

Medicare enrollment records show Andrea Axtell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Alphonsus Regional Medical Center Inc
7.1 mi
Psychologist
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 781 clinicians in this Medicare group
NPI 1649357716 (208) 367-4148

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 4

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

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

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83616 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
$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 5

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

BRIGETTE MARIE MCCOY RN, MSN, FNP-S
Nurse Practitioner
323 E RIVERSIDE DR STE 224
EAGLE, ID 83616
Ada County (208) 302-6000
DR. STAN A EISELE MD
Internal Medicine
323 E RIVERSIDE DR STE 224
EAGLE, ID 83616
Ada County (208) 302-6000
DR. ALLEN WONG MD
Internal Medicine
323 E RIVERSIDE DR STE 224
EAGLE, ID 83616
Ada County (208) 302-6000
EDWARD D DAVILA MD
Internal Medicine
323 E RIVERSIDE DR STE 224
EAGLE, ID 83616
Ada County (208) 302-6000
ADAM PAUL KIPP MD, MPH
Family Medicine
323 E RIVERSIDE DR STE 224
EAGLE, ID 83616
Ada County (208) 302-6000

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 Andrea Axtell's NPI number?

The NPI number for Andrea Axtell is 1922298678. It was assigned to this individual provider in the NPPES registry on July 30, 2007. The provider is also known as Andrea Dawn Haley.

Where is Andrea Axtell located?

Andrea Axtell practices at 323 E Riverside Dr Ste 224, Eagle, ID 83616. The listed phone number is (208) 302-6000.

What is Andrea Axtell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrea Axtell enrolled in Medicare?

Yes. Andrea Axtell 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 organization bills Medicare for Andrea Axtell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Axtell reassigns Medicare benefits to Saint Alphonsus Regional Medical Center Inc (Boise, ID). The 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 Andrea Axtell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Axtell accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, Providence Health Plan and Select Health list Andrea Axtell 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 Andrea Axtell affiliated with any hospitals?

According to CMS data, Andrea Axtell is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Andrea Axtell was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.