Autumn Rose Mason, AGACNP-BC - Medicare Nurse Practitioner in Boise, ID

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Autumn Rose Mason, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Boise, Idaho. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 190 E Bannock St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 381-2222.

Autumn Rose Mason is licensed to practice in Idaho (license number 71748) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386305415.

Contact Information

Autumn Rose Mason, AGACNP-BC
190 E Bannock St,
Boise, ID 83712-6241
(208) 381-2222
Not Available

Map and Direction




Provider's Profile

Full NameAutumn Rose Mason
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location190 E Bannock St, Boise, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Autumn Rose Mason graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1386305415
  • Provider Enumeration Date: 12/30/2021
  • Last Update Date: 02/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830586320
  • Enrollment ID: I20220502002044

Medical Identifiers

Medical identifiers for Autumn Rose Mason such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386305415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice 45530 (Idaho)Secondary
363LA2100XNurse Practitioner - Acute Care 71748 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402991

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Autumn Rose Mason allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Autumn Rose Mason is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Autumn Rose Mason, AGACNP-BC
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-8748		Autumn Rose Mason, AGACNP-BC
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2222

Reviews and Comments


Nurse Practitioner Nurses in Boise, ID

Nora M Suarez, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2222    
Dr. Nancy Jane L'heureux, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6259 W Emerald St, Boise, ID 83704
Phone: 208-489-1900    Fax: 208-375-5286
Jennifer Woodburn,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-5015    
Carl Ciplinski, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709
Phone: 208-302-5950    
Kathryn Laura Cnossen, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8000 S Federal Way, Boise, ID 83716
Phone: 208-368-2109    
Mrs. Chelsea Rose Wallace, RN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9976 W Emerald St, Boise, ID 83704
Phone: 208-229-3742    
Natasha Michele King-anderson, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 707 N Armstrong Pl, Boise, ID 83704
Phone: 208-375-5211    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.