NPI age
10 years
Enumerated 2015-07-08
● Active Type 2 · Organization
Snake River Pediatrics, Pc
Snake River Pediatrics, Pc is 1 of 61 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Berria
President
Last NPPES update
2023-08-16
Source: monthly bulk 2026-05
How this organization compares
Across 61 active clinic/center providers in Idaho.
NPI age
10 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 29% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-07Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
1100 Nw 12th St
Fruitland, ID 836195040
Mailing address
1100 Nw 12th St
Fruitland, ID 836195040
Authorized official
Matthew Joseph Berria, PHD, PA-C
President
📞 2087404518
Individual providers at this organization
13 individual providers on file at this primary practice address.
- Sage Benintendi-Stringer, PA Physician Assistant NPI 1902985740
- Matthew Berria, PA Physician Assistant NPI 1982791810
- Baylee Buckland, PA-C Physician Assistant NPI 1881321198
- Abby Davis Pediatrics NPI 1124758479
- Michelle Devoe, D.O. Pediatrics NPI 1265437529
- Page Erntson, LCSW Social Worker NPI 1073399259
- Elizabeth Frasier, LMSW Social Worker NPI 1255112991
- Bradi Fritts, LCSW Social Worker NPI 1043517105
- Theodore Gross Pediatrics NPI 1922531508
- Mary James, PA Physician Assistant NPI 1982907747
- Chelsie Lewis, FNP Nurse Practitioner NPI 1235329707
- Kailey Meskill, PA Physician Assistant NPI 1720458235
- Kayla Nagy, PA-C Physician Assistant NPI 1215452586
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OR) | 500605243 | |
| 01 | 1902985740 | NPI |
Practice context
Multi-provider organization. 13 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.