CARLEE RENEE FOUNTAINE MD
NPI 1952862062
Internal Medicine in Boise, ID

Q: What is Carlee Fountaine's NPI number?

The NPI number for Carlee Fountaine is 1952862062. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Q: What is Carlee Fountaine's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carlee Fountaine was last updated on April 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2019PECOS Enrolled

500 W FORT ST # 111R, BOISE, ID 83702(208) 422-1000 Get Directions Write a Review

NPPES record last updated: April 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Carlee Renee Fountaine Md NPPES

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

CARLEE RENEE FOUNTAINE MD (NPI 1952862062) is an individual internal medicine provider in Boise, Idaho, licensed in Idaho (MRM-1798) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952862062

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameCARLEE RENEE FOUNTAINECredential: MD

Location Address500 W FORT ST # 111RBoise, ID 83702-4501

Mailing Address500 W Fort St # 111rBoise, ID 83702-4501 · (208) 422-1000

Phone(208) 422-1000

Sole ProprietorNo

Enumeration DateMarch 29, 2019

Last NPPES UpdateApril 19, 2019

✔ NPI 1952862062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in ID · MRM-1798

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

500 W FORT ST # 111R, Boise, ID 83702

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlee Renee Fountaine Md 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 83702 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.

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