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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MCKAYLA ANN LIVELY SURRETT APRN-CNP
NPI 1093538852
Nurse Practitioner - Family in Twin Falls, ID

Active since October 31, 2024PECOS Enrolled
775 POLE LINE RD W STE 203, TWIN FALLS, ID 83301(208) 814-8300 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Jan 7, 2025, Dec 23, 2024 (3 updates tracked since 2024).

About Mckayla Ann Lively Surrett Aprn-cnp NPPES

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

MCKAYLA ANN LIVELY SURRETT APRN-CNP (NPI 1093538852) is an individual family provider in Twin Falls, Idaho, licensed in Idaho (9861073) and active in the NPI registry since October 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

NPI1093538852
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMCKAYLA ANN LIVELY SURRETTCredential: APRN-CNP
Location Address775 POLE LINE RD W STE 203Twin Falls, ID 83301-5820
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 814-8300
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 31, 2024
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1093538852 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 · 9861073
775 POLE LINE RD W STE 203, Twin Falls, ID 83301
Open in Google Maps ↗

Other Names 1

Former Name (1)Mckayla Lively

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

Mckayla Ann Lively Surrett Aprn-cnp 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 ID3870021678
PECOS Enrollment IDI20250107003185
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.

Hospital Affiliations CMS Care Compare 5

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

Minidoka Memorial Hospital

Critical Access Hospitals · Rupert, ID
OwnershipGovernment - Local
CMS Certification Number131319
Location1224 8th StreetRupert, ID 83350 · Minidoka County
Emergency services

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131323
Location100 Hospital DriveKetchum, ID 83340 · Blaine County
Emergency services Birthing friendly

Cassia Regional Hospital

Critical Access Hospitals · Burley, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131326
Location1501 Hiland AvenueBurley, ID 83318 · Cassia County
Emergency services Birthing friendly

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 2

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

MRS. KIMBERLY DOLECHECK TVERDY PA-C
Physician Assistant
775 POLE LINE RD W STE 203
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8300
DR. MICHAEL JOHN WEAVER MD
Internal Medicine (Gastroenterology)
775 POLE LINE RD W STE 203
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8300

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 Mckayla Lively Surrett's NPI number?

The NPI number for Mckayla Lively Surrett is 1093538852. It was assigned to this individual provider in the NPPES registry on October 31, 2024. The provider is also known as Mckayla Lively.

Where is Mckayla Lively Surrett located?

Mckayla Lively Surrett practices at 775 Pole Line Rd W Ste 203, Twin Falls, ID 83301. The listed phone number is (208) 814-8300.

What is Mckayla Lively Surrett's specialty?

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

Is Mckayla Lively Surrett enrolled in Medicare?

Yes. Mckayla Lively Surrett 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 Mckayla Lively Surrett accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Mckayla Lively Surrett 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 Mckayla Lively Surrett affiliated with any hospitals?

According to CMS data, Mckayla Lively Surrett is affiliated with St Lukes Magic Valley Medical Center, St Luke's Jerome, Minidoka Memorial Hospital, St Luke's Wood River Medical Center and Cassia Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mckayla Lively Surrett was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.