Add Clinic of Idaho
NPI 1801567029ActiveOrganization· Nurse Practitioner, Family· Meridian, ID
Nurse Practitioner, Family in Meridian, Idaho, registered in NPPES in September 2021. The authorized official on file is Cody D. Mattingly, PA-C, Owner.
Overview
| NPI | 1801567029 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2021 |
| Last updated in NPPES | Sep 27, 2021 |
| Certified by provider | Sep 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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 |
|---|
Other Nurse Practitioner, Family providers in Meridian
- 1326345661
- 1568093136
- 1295138261
- 1104680602
- 1033424429
- 1538668421
- 1952845109
- 1285293118
- 1043868995
- 1194186437
- 1912221318
- 1205435757