Treasure Valley Healthcare PLLC
NPI 1336762566ActiveOrganization· Nurse Practitioner, Gerontology· Meridian, ID
Nurse Practitioner, Gerontology in Meridian, Idaho, registered in NPPES in May 2020. The authorized official on file is Candice Elaine Adams, DNP, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336762566 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2020 |
| Last updated in NPPES | Jul 29, 2025 |
| Certified by provider | Jul 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | — | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
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) |
|---|
Other Nurse Practitioner, Gerontology providers in Meridian
- 1982359006
- 1982115309
- 1356976039
- 1063125672