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NPI 1669666939
● Active Type 2 · Organization
St Lukes Regional Medical Center
Clinic/Center · Boise, ID · NPI 1669666939
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Enumerated 2007 · 18 years on NPI
St Lukes Regional Medical Center is 1 of 36 clinic/center organizations in Idaho.
NPI age
18 years
Enumerated 2007-08-30
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
2007-08-30
Source: monthly bulk 2026-05
How this organization compares
Across 36 active clinic/center providers in Idaho.
NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-08 Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
300 E Jefferson St
Boise, ID 837126246
📞 2083364141 fax 2083364035
Mailing address
Po Box 110
Boise, ID 837010110
📞 2083364141 fax 2083364035
Authorized official
Carrie L Cowgill
Credentialing Coordinator
📞 2083814137
Individual providers at this organization
20 individual providers on file at this primary practice address.
Emily Barnett , LMSW
Social Worker
NPI 1013396266
Andrea Bockenstette , NP
Nurse Practitioner
NPI 1437583408
Jessica Bruce
Nurse Practitioner
NPI 1205029162
Sorcha Cusack , PA-C
Physician Assistant
NPI 1396071056
Marcos Daccarett , MD
Internal Medicine
NPI 1023144300
Jodie Donovan , M.D.
Internal Medicine
NPI 1295027688
Robert Duerr , MD
Internal Medicine
NPI 1588611263
Karen East , MD
Internal Medicine
NPI 1255380150
Stefanie Fry , MD
Internal Medicine
NPI 1881649572
David Hinchman , MD
Internal Medicine
NPI 1710914528
Michelle Hurty , P.A.
Physician Assistant
NPI 1588616122
Erika Lewis , M.D.
Internal Medicine
NPI 1659320570
Melinda Marks , MD
Internal Medicine
NPI 1669409785
Brittany Matthews , FNP-BC
Nurse Practitioner
NPI 1962958892
Laura McGeorge , MD
Internal Medicine
NPI 1629029699
Stephen Montamat , MD
Internal Medicine
NPI 1548210958
Tyley Nelson , NP
Nurse Practitioner
NPI 1972552925
Samantha Nizich , PA-C
Physician Assistant
NPI 1659244127
Leslie Nona , M.D.
Internal Medicine
NPI 1497704316
Kylie Nuxoll , FNP-C
Nurse Practitioner
NPI 1669332722
Specialties
Clinic/Center
Primary
An 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...
taxonomy 261QM2500X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.