Idaho State University
NPI 1962095711ActiveOrganization· Nurse Practitioner, Primary Care· Meridian, ID
Nurse Practitioner, Primary Care in Meridian, Idaho, registered in NPPES in February 2021. The authorized official on file is Cynthia Lee Rock, Clinics Director Of Operations.
Overview
| NPI | 1962095711 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2021 |
| Last updated in NPPES | Aug 27, 2021 |
| Certified by provider | Aug 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
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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