Clearwater Medical Center PLLC
NPI 1558452268ActiveOrganization· Nurse Practitioner, Family· Lewiston, ID
Nurse Practitioner, Family in Lewiston, Idaho, registered in NPPES in September 2006. The authorized official on file is Celso R. Chavez, MD, Owner Physician.
Overview
| NPI | 1558452268 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2006 |
| Last updated in NPPES | Dec 16, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | NP361A | — |
| Family Medicine | 207Q00000X | A87025 | ID |
| Nurse Practitioner, Family | 363LF0000X | NP740A | ID |
| Nurse Practitioner, Family | 363LF0000X | NP751A | ID |
| Nurse Practitioner, Family | 363LF0000X | NP372A | ID |
| Nurse Practitioner, Family | 363LF0000X | NP388A | ID |
| Nurse Practitioner, Family | 363LF0000X | NP390A | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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