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MRS. RAEMI DAWN NOLEVANKO FNP-C
NPI 1063119212
Nurse Practitioner - Occupational Health in Twin Falls, ID

Active since February 08, 2023PECOS Enrolled
801 POLE LINE RD W, TWIN FALLS, ID 83301(208) 814-1000 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2023, Feb 8, 2023 (2 updates tracked since 2023).

About Mrs. Raemi Dawn Nolevanko Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. RAEMI DAWN NOLEVANKO FNP-C (NPI 1063119212) is an individual occupational health provider in Twin Falls, Idaho, licensed in Idaho (56430) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jerome.

NPPES Registry Identity

NPI1063119212
Entity TypeIndividualFemale
Primary Taxonomy363LX0106X
Provider Legal NameMRS. RAEMI DAWN NOLEVANKOCredential: FNP-C
Location Address801 POLE LINE RD WTwin Falls, ID 83301-5810
Mailing Address2522 E 3810 NTwin Falls, ID 83301-5549 · (208) 731-9841
Phone(208) 814-1000
Sole ProprietorYes
Enumeration DateFebruary 8, 2023
Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
✔ NPI 1063119212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Occupational HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0106X
License✔ Licensed in ID · 56430
801 POLE LINE RD W, Twin Falls, ID 83301
Open in Google Maps ↗

Secondary Practice Location 1

Location 1115 5th Ave WJerome, ID 83338-1824 · Phone (208) 814-9840

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Raemi Dawn Nolevanko Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Raemi Nolevanko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Luke's Clinic LLC
Same address
Family Medicine
775 POLE LINE RD W
Twin Falls, ID 83301
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: St Lukes Clinic LLC
  • 322 clinicians in this Medicare group
NPI 1790718229 (208) 814-1000
St Lukes Clinic-Treasure Valley LLC
72 mi
Family Medicine
840 N 4TH E
Mountain Home, ID 83647
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1417297821 (208) 587-1850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHET DANSIE CRNA
Nurse Anesthetist, Certified Registered
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 814-1000
SHALYCE ANDERSON
Social Worker
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 670-5214
GINA GRIFFITHS PIPER PHD CCC-SLP
Speech-Language Pathologist
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (541) 381-1100
JOSEPH MURDOCK STROBEL D.O.
Hospitalist
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 814-4100
DANIEL SCOTT JOHNSON
Nurse Anesthetist, Certified Registered
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 734-7362
GARRETT J SASSE
Social Worker (Clinical)
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 814-1000
ALISON KIRKPATRICK OTR
Occupational Therapist
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (562) 234-2903
VALERIA CARDONA LOPEZ CSFA
Specialist/Technologist, Other (Surgical Assistant)
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 814-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raemi Nolevanko's NPI number?

The NPI number for Raemi Nolevanko is 1063119212. It was assigned to this individual provider in the NPPES registry on February 8, 2023.

Where is Raemi Nolevanko located?

Raemi Nolevanko practices at 801 Pole Line Rd W, Twin Falls, ID 83301. The listed phone number is (208) 814-1000.

What is Raemi Nolevanko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Occupational Health, with taxonomy code 363LX0106X.

Is Raemi Nolevanko enrolled in Medicare?

Yes. Raemi Nolevanko is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Raemi Nolevanko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raemi Nolevanko reassigns Medicare benefits to 2 organizations: St Luke's Clinic LLC (Twin Falls, ID) and St Lukes Clinic-Treasure Valley LLC (Mountain Home, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raemi Nolevanko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raemi Nolevanko accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Raemi Nolevanko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raemi Nolevanko was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.