NPI age
18 years
Enumerated 2007-07-05
● Active Type 2 · Organization
St Lukes Regional Medical Center Dba St Luke'S Internal Medicine
St Lukes Regional Medical Center Dba St Luke'S Internal Medicine is 1 of 1263 physician assistant organizations in Idaho.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cowgill
Credentialing Coordinator
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1263 active physician assistant providers in Idaho.
NPI age
18 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
300 E Jefferson St
Boise, ID 837126246
Mailing address
Po Box 550
Boise, ID 837010550
Authorized official
Carrie Lynne 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
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SLIM Midlevel Providers
Practice context
Multi-provider organization. 20 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.