NPI age
19 years
Enumerated 2006-06-07
● Active Type 2 · Organization
St Lukes Regional Medical Center
St Lukes Regional Medical Center is 1 of 36 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cowgill
Credentialing Coordinator
Last NPPES update
2007-10-31
Source: monthly bulk 2026-05
How this organization compares
Across 36 active clinic/center providers in Idaho.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
4840 N Cloverdale Rd
Boise, ID 837132423
Mailing address
Po Box 550
Boise, ID 837010550
Authorized official
Carrie Lynne Cowgill
Credentialing Coordinator
📞 2083814137
Individual providers at this organization
12 individual providers on file at this primary practice address.
- Jessica Allen, NP Nurse Practitioner NPI 1184332421
- Susan Baxter, MD Internal Medicine NPI 1417959842
- Maria Ewings, MD Internal Medicine NPI 1255422747
- Cristina Gabutti Internal Medicine NPI 1023506847
- Mark Holbrook, M.D. Internal Medicine NPI 1205884616
- Kailey Kendall Pharmacist NPI 1538785191
- Gretchen Kohler, MD Internal Medicine NPI 1982698502
- Kelly Krawtz, PHARMD Pharmacist NPI 1811372881
- Kelsi Mills Physician Assistant NPI 1740916758
- Andrew Nguyen, MD Internal Medicine NPI 1669113841
- David Nielsen, MD Internal Medicine NPI 1821048364
- Ester Peters, DO Internal Medicine NPI 1396486387
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ST LUKES INTERNAL MEDICINE
Practice context
Multi-provider organization. 12 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.