DBA ACACIA WELLNESS CENTER
NPI 1669612271
Family Medicine in Nampa, ID

NPI Status: Active since February 23, 2009

Contact Information

217 W GEORGIA AVE STE 120
NAMPA, ID
ZIP 83686
Phone: (208) 498-1760
Fax: (208) 498-1769

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  • Organization
  • Family Medicine

About DBA ACACIA WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Dba Acacia Wellness Center, a primary care provider established in Nampa, Idaho operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1669612271 assigned on February 2009. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Dba Acacia Wellness Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Dba Acacia Wellness Center. The authorized official of this NPI record is Mrs. Deo Marie Peppersack Fnp (Owner)

NPI
1669612271
Provider Legal Name
5 PEPPERS INC.
Other Organization Name
DBA ACACIA WELLNESS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
217 W GEORGIA AVE STE 120 NAMPA, ID 83686
Location Phone
(208) 498-1760
Location Fax
(208) 498-1769
Mailing Address
353 W IOWA AVE NAMPA, ID 83686
Mailing Phone
(208) 498-1760
Mailing Fax
(208) 498-1769
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-23-2009
Last Update Date
03-09-2016
Code Navigator

A primary care provider (PCP) like Dba Acacia Wellness Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

LMSW-27706 (ID)
2363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

656A (ID)
3363LP0808XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Psychiatric/Mental Health

NP656A (ID)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. DEO MARIE PEPPERSACK FNP

Authorized Official Title
OWNER
Authorized Official Phone
(208) 498-1760

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8083269MEDICAID (05)ID 
806976700MEDICAID (05)ID 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669612271
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291214214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 2 + 1 + 4 + 2 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1669612271 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770538811 DEO M PEPPERSACK NP
Individual
Nurse Practitioner (Family)217 W GEORGIA AVE STE 120
NAMPA, ID 83686
(208) 498-1760
1386267953 SHANNON ANDERSON
Individual
Social Worker217 W GEORGIA AVE STE 120
NAMPA, ID 83686
(208) 498-1760
1639666811 ROBERT EDWARD HADLEY LMSW
Individual
Social Worker (Clinical)217 W GEORGIA AVE STE 120
NAMPA, ID 83686
(208) 498-1760
1417601840 MCKENZIE MARY MORCOM CNP, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)217 W GEORGIA AVE STE 120
NAMPA, ID 83686
(208) 498-1760
1093718702DR. SHANNON DEE GAERTNER-EWING DC
Individual
Chiropractor (Nutrition)217 W GEORGIA AVE STE 120
NAMPA, ID 83686
(208) 467-5994
1386336410 JENNIFER LYNETTE GILLEY LMSW
Individual
Counselor (Mental Health)217 W GEORGIA AVE STE 120
NAMPA, ID 83686
(208) 498-1760
1356358204GAERTNER CHIROPRACTIC & INTEGRATED MEDICINE CLINIC PA
Organization
Chiropractor (Nutrition)217 W GEORGIA AVE STE 120
NAMPA, ID 83686
(208) 467-5994
1043690175MS. REBEKAH G FAYETTE CNM
Individual
Nurse Practitioner (Psychiatric/Mental Health)217 W GEORGIA AVE STE 120
NAMPA, ID 83686
(208) 498-1760
1437986254SUMMIT PSYCHIATRY AND FAMILY WELLNESS
Organization
Family Medicine217 W GEORGIA AVE STE 120
NAMPA, ID 83686
(208) 498-1760

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669612271, enumerated in the NPI registry as an "organization" on February 23, 2009

The provider is located at 217 W Georgia Ave Ste 120 Nampa, Id 83686 and the phone number is (208) 498-1760

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 23, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.