Toni Carles, NP-C - Medicare Nurse Practitioner in Boise, ID

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Toni Carles, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Boise, Idaho. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rise Inc and her current practice location is 537 W Bannock St Ste 100, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 424-7799.

Toni Carles is licensed to practice in Idaho (license number NP-1038A) 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 1144527607.

Contact Information

Toni Carles, NP-C
537 W Bannock St Ste 100,
Boise, ID 83702-5759
(208) 424-7799
Not Available

Map and Direction




Provider's Profile

Full NameToni Carles
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location537 W Bannock St Ste 100, 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:
  • Toni Carles graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1144527607
  • Provider Enumeration Date: 02/18/2011
  • Last Update Date: 11/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406131531
  • Enrollment ID: I20170331001869

Medical Identifiers

Medical identifiers for Toni Carles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144527607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP-1038A (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rise Inc23655937952

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. Toni Carles allows following entities to bill medicare on her behalf.
Entity NameRise Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720049190
PECOS PAC ID: 2365593795
Enrollment ID: O20230519001565

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. Toni Carles 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
Toni Carles, NP-C
537 W Bannock St Ste 100,
Boise, ID 83702-5759

Ph: (208) 424-7799		Toni Carles, NP-C
537 W Bannock St Ste 100,
Boise, ID 83702-5759

Ph: (208) 424-7799

Reviews and Comments


Nurse Practitioner Nurses in Boise, ID

Nora M Suarez, NP
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Phone: 208-381-2222    
Dr. Nancy Jane L'heureux, DNP
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Phone: 208-489-1900    Fax: 208-375-5286
Jennifer Woodburn,
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Carl Ciplinski, NP
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Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709
Phone: 208-302-5950    
Kathryn Laura Cnossen, NP-C
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Practice Location: 8000 S Federal Way, Boise, ID 83716
Phone: 208-368-2109    
Mrs. Chelsea Rose Wallace, RN, FNP-C
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Practice Location: 9976 W Emerald St, Boise, ID 83704
Phone: 208-229-3742    
Natasha Michele King-anderson, FNP-C
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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.