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Felicia Lynn Berridge

NPI 1861101636ActiveIndividual· Surgery, Pediatric Surgery· Boise, ID

Surgery, Pediatric Surgery in Boise, Idaho, licensed in ID, with an NPI issued in November 2022.

Overview

NPI1861101636
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedNov 21, 2022
Last updated in NPPESNov 21, 2022
Certified by providerNov 19, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Surgery, Pediatric Surgery Primary2086S0120X$$$$$$$$$ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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