St. Luke's Regional Medical Center
NPI 1396916417ActiveOrganization· Nurse Practitioner, Adult Health· Boise, ID
Nurse Practitioner, Adult Health in Boise, Idaho, registered in NPPES in March 2008, part of St. Luke's Regional Medical Center. The authorized official on file is Edwin Dahlberg, President & Ceo.
Overview
| NPI | 1396916417 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St. Luke's Regional Medical Center |
| NPI issued | Mar 17, 2008 |
| Last updated in NPPES | Mar 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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