Advanced Integrated Medical Center
NPI 1033674916ActiveOrganization· Nurse Practitioner· Blackfoot, ID
Nurse Practitioner in Blackfoot, Idaho, registered in NPPES in February 2019. The authorized official on file is Dee Stevens, DC, Owner/Operator.
Overview
| NPI | 1033674916 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 5, 2019 |
| Last updated in NPPES | Jun 18, 2020 |
| Certified by provider | Jun 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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