NPI age
10 years
Enumerated 2016-02-26
● Active Type 2 · Organization
Blue Lakes Medicine PA
Blue Lakes Medicine PA is 1 of 1280 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Arrington
Provider / Owner
Last NPPES update
2016-02-26
Source: monthly bulk 2026-05
How this organization compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
10 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-02Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
1122 Eastland Dr N, Ste 2
Twin Falls, ID 833018444
Mailing address
1122 Eastland Dr N, Ste 2
Twin Falls, ID 833018444
Authorized official
Howard Rusty Arrington, FNP-C, DC
Provider / Owner
📞 2087349531
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1374328 | MEDICARE PTAN |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.