OWYHEE FAMILY MEDICINE PLLC
NPI 1245910470
Family Medicine in Star, ID

Active since July 21, 2023CLIA 13D1036449 · Waiver
9858 W STATE ST, STAR, ID 83669(208) 286-9471 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Owyhee Family Medicine Pllc NPPES

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

OWYHEE FAMILY MEDICINE PLLC (NPI 1245910470) is a healthcare organization registered as a family medicine in Star, Idaho and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Rory Hawker, Owner, as its authorized official.

NPPES Registry Identity

NPI1245910470
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOWYHEE FAMILY MEDICINE PLLC
Location Address9858 W STATE STStar, ID 83669-5210
Mailing Address9858 W State StStar, ID 83669-5210 · (208) 286-9471
Organization SubpartNo
Authorized OfficialRory HawkerOwner · (208) 422-7887
Enumeration DateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
✔ NPI 1245910470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9858 W STATE ST, Star, ID 83669

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Owyhee Family Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Owyhee Family Medicine PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1316617681
9858 W STATE ST
Star, ID 83669
(208) 286-9471
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1710509443
215 E HAWAII AVE
Nampa, ID 83686
(208) 514-2529
✔ PECOS✔ Accepts Medicare11 mi

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

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 13D1036449

Owyhee Family Medicine · Star, ID
Active · expires Apr 11, 2027
CLIA Number13D1036449
Laboratory TypePractitioner Other
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorRory B. Hawker
Laboratory Phone(208) 286-9471
Laboratory LocationOwyhee Family Medicine9858 W State St, Star, ID 83669
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Owyhee Family Medicine PLLC's NPI number?

The NPI number for Owyhee Family Medicine PLLC is 1245910470. It was assigned to this organization in the NPPES registry on July 21, 2023.

Where is Owyhee Family Medicine PLLC located?

Owyhee Family Medicine PLLC is located at 9858 W State St, Star, ID 83669. The listed phone number is (208) 286-9471.

What is Owyhee Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Owyhee Family Medicine PLLC enrolled in Medicare?

Yes. Owyhee Family Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Owyhee Family Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Owyhee Family Medicine PLLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Owyhee Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1036449) is associated with this NPI, valid through April 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Owyhee Family Medicine PLLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Owyhee Family 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 Owyhee Family Medicine PLLC was last updated on July 21, 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.