Christopher Alan Anthony Nicholas
NPI 1104427152ActiveIndividual· Nurse Practitioner, Family· Eagle, ID
Nurse Practitioner, Family with St Lukes Clinic-Treasure Valley LLC, practicing in Eagle, Idaho. 452 Medicare patients in 2024, $19,089 paid; nearly all of their 1,053 Part D prescriptions were generic (91%). Lists St Luke's Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1104427152 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 5, 2020 |
| Last updated in NPPES | Jan 18, 2023 |
| Certified by provider | Jan 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 66285 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 452 |
|---|---|
| Services billed | 504 across 14 procedure codes |
| Paid by Medicare | $19,089 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,053 · 1,071 30-day fills |
|---|---|
| Patients | 638 |
| Total drug cost | $15,432 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliation
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 40 family nurse practitioners in Eagle · All family nurse practitioners in Idaho