Blue Lakes Medicine PA
NPI 1063872489ActiveOrganization· Nurse Practitioner, Family· Twin Falls, ID
Nurse Practitioner, Family in Twin Falls, Idaho, registered in NPPES in February 2016. The authorized official on file is Howard Rusty Arrington, FNP-C, DC, Provider / Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063872489 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2016 |
| Last updated in NPPES | Feb 26, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | NP-1688A | ID |
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) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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