NPI age
12 years
Enumerated 2014-04-21
● Active Type 2 · Organization
Magic Valley Foot And Ankle Specialists Pllc
Magic Valley Foot And Ankle Specialists Pllc is 1 of 67 podiatrist organizations in Idaho.
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roberts
Owner
Last NPPES update
2014-07-02
Source: monthly bulk 2026-05
How this organization compares
Across 67 active podiatrist providers in Idaho.
NPI age
12 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-04Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
496 Shoup Ave W
Twin Falls, ID 833015834
Mailing address
496 Shoup Ave W
Twin Falls, ID 833015834
Authorized official
Caleb Roberts, DPM
Owner
📞 2087091700
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Michael Hazel, LPC Counselor NPI 1336943448
- Sara Johnson, MD Family Medicine NPI 1881601698
- Anna Makovec-Fuller, CFNP Nurse Practitioner NPI 1750396222
- Gladys Rasch, MPA-C Physician Assistant NPI 1194909598
- Ynez Shetler Counselor NPI 1598596041
- Katie Wyatt, NP-C Nurse Practitioner NPI 1114288891
Specialties
-
Podiatrist PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Caleb Edwin Roberts Sole Mbr
Practice context
Multi-provider organization. 6 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 →
- 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.