Georgina Rafielita Marshall, APRN
NPI 1083578942ActiveIndividual· Nurse Practitioner, Family· Fort Hall, ID
Nurse Practitioner, Family (APRN) with Phs Ambulatory Services LLC, practicing in Fort Hall, Idaho. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner. Lists Portneuf Medical Center as a hospital affiliation.
Overview
| NPI | 1083578942 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Dec 15, 2025 |
| Last updated in NPPES | Sep 2, 2026 |
| Certified by provider | Sep 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 3071395 | 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 Practitioner - Nurse Practitioner (ID); Practitioner - Nurse Practitioner (TX) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Phs Ambulatory Services LLCChubbuck, ID · 6 clinicians
Hospital affiliation
- Portneuf Medical CenterPocatello, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records