REATTA OMOTH FNP-C
NPI 1063256584
Nurse Practitioner - Family in Twin Falls, ID

Q: What is Reatta Omoth's NPI number?

The NPI number for Reatta Omoth is 1063256584. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Q: What is Reatta Omoth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Reatta Omoth was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since June 20, 2024PECOS EnrolledAccepts Medicare Assignment

2550 ADDISON AVE E STE E, TWIN FALLS, ID 83301(208) 814-7780(208) 814-7746 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, Jul 8, 2024, Jun 20, 2024 (3 updates tracked since 2024).

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About Reatta Omoth Fnp-c NPPES

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

REATTA OMOTH FNP-C (NPI 1063256584) is an individual family provider in Twin Falls, Idaho, licensed in Idaho (9861160) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063256584

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameREATTA OMOTHCredential: FNP-C

Location Address2550 ADDISON AVE E STE ETwin Falls, ID 83301-6748

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 814-7780

Fax(208) 814-7746

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 20, 2024

Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1063256584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · 9861160

2550 ADDISON AVE E STE E, Twin Falls, ID 83301

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Reatta Omoth Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810429875

PECOS Enrollment IDI20241015002326

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

37 services35 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130002

Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County

Emergency services Birthing friendly

St Luke's Jerome

Critical Access Hospitals · Jerome, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131310

Location709 North Lincoln AvenueJerome, ID 83338 · Jerome County

Emergency services

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

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

SAMANTHA GONZALES FNP-C

Nurse Practitioner (Family)

2550 ADDISON AVE E STE E
TWIN FALLS, ID 83301

Twin Falls County (208) 814-7780

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 Reatta Omoth's NPI number?

The NPI number for Reatta Omoth is 1063256584. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Where is Reatta Omoth located?

Reatta Omoth practices at 2550 Addison Ave E Ste E, Twin Falls, ID 83301. The listed phone number is (208) 814-7780.

What is Reatta Omoth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Reatta Omoth enrolled in Medicare?

Yes. Reatta Omoth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Reatta Omoth accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Reatta Omoth 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.

Is Reatta Omoth affiliated with any hospitals?

According to CMS data, Reatta Omoth is affiliated with St Lukes Magic Valley Medical Center and St Luke's Jerome.

When was this NPI record last updated?

The NPPES record for Reatta Omoth was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.