Matthew Fowler

AGNP-C | Nurse Practitioner | 6+ years Exp

1611 12th Ave Rd Ste A, Nampa
  Idaho, 83686-6182
208-546-3650
Accepts Medicare Nurse Anesthetist in Nampa, Idaho.
Matthew Fowler is a Nampa, Idaho based nurse practitioner with 6 years of experience in . He completed his graduation in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Matthew Fowler is 63745 for Psych/Mental Health in Idaho. His current practice location is 1611 12th Ave Rd Ste A, Nampa. Patients can reach him at 208-546-3650 or can fax him at 208-505-1947. Matthew Fowler is AGNP-C and his NPI number (Unique professional ID assigned by NPPES) is 1053943688.
Matthew Fowler has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Matthew Fowler speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Matthew Fowler
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: AGNP-C
Experience: 6+ years
Medical School Attended:Other
Graduation Year:2019
Accepts Medicare Assignment:Yes
Practice Address:1611 12th Ave Rd Ste A, Nampa,
Idaho, 83686-6182
Phone:208-546-3650
Fax:208-505-1947
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 8224442348
Enrollment ID: I20210202000948
NPI Number: 1053943688
NPI Enumeration Date: 11 Feb, 2020
NPI Last Update On: 22 Sep, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Fowler are as mentioned below.
License NumberSpecializationStateStatus
63745Psych/Mental Health IdahoPrimary
63745Nurse Practitioner IdahoSecondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Matthew Fowler is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Meridian Advanced Psychiatry , Llc (8628490711)12
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Matthew Fowler
1123 12th Ave Rd # 325,
Nampa, Idaho
Zip: 83686-5738
Phone Number: 208-546-3650
Fax Number: 208-505-1947
Patients can reach Matthew Fowler at 1611 12th Ave Rd Ste A, Nampa, Idaho or can call to book an appointment on 208-546-3650.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.