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MAGIC VALLEY MEDICINE PLLC
NPI 1174939383
Nurse Practitioner - Family in Twin Falls, ID

Active since July 08, 2014CLIA 13D2112426 · Waiver
844 WASHINGTON ST N STE 400, TWIN FALLS, ID 83301(208) 734-0000(208) 735-5053 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Magic Valley Medicine Pllc NPPES

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

MAGIC VALLEY MEDICINE PLLC (NPI 1174939383) is a healthcare organization registered as a family in Twin Falls, Idaho and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Samuel H Barker, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1174939383
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAGIC VALLEY MEDICINE PLLC
Location Address844 WASHINGTON ST N STE 400Twin Falls, ID 83301-3874
Mailing Address844 Washington St N Ste 400Twin Falls, ID 83301-3874 · (208) 734-0000 · Fax (208) 735-5053
Phone(208) 734-0000
Fax(208) 735-5053
Organization SubpartNo
Authorized OfficialSamuel H BarkerSole Member · (208) 734-0000
Enumeration DateJuly 8, 2014
Last NPPES UpdateJuly 11, 2016
✔ NPI 1174939383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
844 WASHINGTON ST N STE 400, Twin Falls, ID 83301
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Other Identifiers 3

Medicaid1174939383ID
Other7369300001Medicare Dme
Medicare PIN20005523

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2112426

Magic Valley Medicine · Twin Falls, ID
Active · expires Apr 27, 2028
CLIA Number13D2112426
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorSamuel Barker
Laboratory Phone(208) 734-0000
Laboratory LocationMagic Valley Medicine844 Washington St North Ste 400, Twin Falls, ID 83301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. SAMUEL HARRISON BARKER D.C., NP-C
Nurse Practitioner (Family)
844 WASHINGTON ST N STE 400
TWIN FALLS, ID 83301
Twin Falls County (208) 734-0000
JILLIAN MARJORIE SIRUCEK ADEPOJU D.C.
Chiropractor
844 WASHINGTON ST N STE 400
TWIN FALLS, ID 83301
Twin Falls County (208) 736-8858
QUICKER CARE PLLC
Clinic/Center (Urgent Care)
844 WASHINGTON ST N STE 400
TWIN FALLS, ID 83301
Twin Falls County (208) 734-0000
MAGIC VALLEY MEDICINE PLLC
Durable Medical Equipment & Medical Supplies
844 WASHINGTON ST N STE 400
TWIN FALLS, ID 83301
Twin Falls County (208) 734-0000

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 Magic Valley Medicine PLLC's NPI number?

The NPI number for Magic Valley Medicine PLLC is 1174939383. It was assigned to this organization in the NPPES registry on July 8, 2014.

Where is Magic Valley Medicine PLLC located?

Magic Valley Medicine PLLC is located at 844 Washington St N Ste 400, Twin Falls, ID 83301. The listed phone number is (208) 734-0000.

What is Magic Valley Medicine PLLC's specialty?

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

Does Magic Valley Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2112426) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Magic Valley Medicine PLLC accept?

Health plans from University of Utah Health Plans list Magic Valley Medicine PLLC 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 Magic Valley Medicine PLLC was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.