TINA MONIQUE BOSSOLONO-WILLIAMS – Primary Care Nurse Practitioner, NPI 1891264545
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,798 NURSE PRACTITIONER in ID
Provider Addresses for TINA MONIQUE BOSSOLONO-WILLIAMS
1510 12TH AVE RD STE 200
NAMPA, ID 836866946
Phone: (208) 302-6800
Fax: (208) 302-6855
Type: Location
22698, Kingsbury Road, Middleton, Canyon County, Idaho, 83644, United States
MIDDLETON, ID 836446049
Phone: (208) 297-4544
Type: Mailing
Parkview Drive, Twin Falls, Twin Falls County, Idaho, 83303, United States
TWIN FALLS, ID 833014084
Phone: (208) 944-0497
Type: Location
1385 Parkview Dr Ste 101
Twin Falls, ID 833014084
Phone: (208) 944-0497
Type: Location
512 E Elm St
Caldwell, ID 836054871
Phone: (208) 370-7004
Type: Location
6051 W Emerald St
Boise, ID 837048969
Phone: (208) 302-5150
Fax: (208) 302-5155
Type: Location
PO BOX 190930
BOISE, ID 837190930
Phone: (208) 236-5170
Fax: (208) 367-5180
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $131.
Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.
Last reported payment date: 2024-02-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($57).
Total Amount
$131
General + Research + Ownership
Payments
6
Total payment records
General Amount
$131
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $57 |
| Novo Nordisk Inc | $41 |
| PFIZER INC. | $18 |
| ABBVIE INC. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-03-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190301001302 | I | Nurse Practitioner | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 49 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 30 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 24 | 24 | $0 |
| G0008 | Administration of influenza virus vaccine | 24 | 24 | $0 |
Insurance plans in this area (ZIP 83686)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | ID | |
| Orthopedic Surgery | ID | |
| - | ID | |
| - | UT | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | ID |
Reviews
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