Magic Valley Medicine PLLC
NPI 1174939383ActiveOrganization· Nurse Practitioner, Family· Twin Falls, ID
Nurse Practitioner, Family in Twin Falls, Idaho, registered in NPPES in July 2014. The authorized official on file is Samuel H. Barker, Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174939383 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 8, 2014 |
| Last updated in NPPES | Jul 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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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