ST LUKES CLINIC-TREASURE VALLEY LLC
NPI 1326336058
Family Medicine in Boise, ID

Q: What is St Lukes Clinic-Treasure Valley LLC's NPI number?

The NPI number for St Lukes Clinic-Treasure Valley LLC is 1326336058. It was assigned to this organization in the NPPES registry on July 15, 2011.

Q: What is St Lukes Clinic-Treasure Valley LLC's specialty?

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

Active since July 15, 2011

190 E BANNOCK ST, BOISE, ID 83712(208) 381-2222 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2026, Dec 8, 2022, Aug 23, 2016 and 1 more (4 updates tracked since 2016).

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About St Lukes Clinic-treasure Valley Llc NPPES

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

ST LUKES CLINIC-TREASURE VALLEY LLC (NPI 1326336058) is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since July 2011. The organization lists Kathryn Fowler, Senior Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1326336058

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameST LUKES CLINIC-TREASURE VALLEY LLC

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing AddressPo Box 640Boise, ID 83701-0640 · (208) 381-2222

Phone(208) 381-2222

Organization SubpartYesParent: St Lukes Health System Ltd

Authorized OfficialKathryn FowlerSenior Vp, Cfo · (208) 381-8717

Enumeration DateJuly 15, 2011

Last NPPES UpdateApril 20, 20264 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1326336058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · 03

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 03 (ID)

Also ListedInternal MedicineTaxonomy 207R00000X · License 03 (ID)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 03 (ID)

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 03 (ID)

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 03 (ID)

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 03 (ID)

Also ListedOphthalmologyTaxonomy 207W00000X · License 03 (ID)

Also ListedPediatricsTaxonomy 208000000X · License 03 (ID)

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 03 (ID)

Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License 03 (ID)

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 03 (ID)

Also ListedSurgeryTaxonomy 208600000X · License 03 (ID)

Also ListedUrologyTaxonomy 208800000X · License 03 (ID)

Also ListedHospitalistTaxonomy 208M00000X · License 03 (ID)

190 E BANNOCK ST, Boise, ID 83712

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Other Identifiers 1

Medicaid1326336058ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare and more.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)

St Lukes Clinic-treasure Valley Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,352

Medicare enrollment records show 1,352 clinicians reassign Medicare billing to St Lukes Clinic-Treasure Valley LLC, which bills Medicare for the services they deliver. Of these, 179 practice at this address and 888 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 59

Nurse Practitioner306

Internal Medicine117

Emergency Medicine105

Pediatric Medicine101

Family Practice97

Obstetrics/Gynecology63

Registered Dietitian or Nutrition Professional49

Neurology44

51 other specialties470

Nearest to this location (20)

See all 1,352

Aaron Ackerson, ACNPC-AG

Nurse Practitioner

NPI 1982329751

190 E BANNOCK ST
Boise, ID 83712

(208) 381-5500

✔ PECOSSame address

Jarren Adam, DO

Emergency Medicine

NPI 1295484699

190 E BANNOCK ST
Boise, ID 83712

(208) 381-2235

✔ PECOSSame address

Diana Alexander, MD

Pediatric Medicine

NPI 1528004702

190 E BANNOCK ST
Boise, ID 83712

(208) 381-7000

✔ PECOSSame address

Aubrey Arensdorf, DO

Hospitalist

NPI 1366948051

190 E BANNOCK ST
Boise, ID 83712

(208) 381-5015

✔ PECOS✔ Accepts MedicareSame address

Donna Beeson, D.O.

Internal Medicine

NPI 1689630436

190 E BANNOCK ST
Boise, ID 83712

(208) 381-5015

✔ PECOS✔ Accepts MedicareSame address

Donald Blaskiewicz, M.D.

Neurosurgery

NPI 1215176839

190 E BANNOCK ST FL 10
Boise, ID 83712

(208) 381-5500

✔ PECOS✔ Accepts MedicareSame address

Krista Brown, RD, LD

Registered Dietitian or Nutrition Professional

NPI 1801218359

190 E BANNOCK ST
Boise, ID 83712

(208) 381-7081

Same address

Sean Carr, M.D.

Diagnostic Radiology

NPI 1851335509

190 E BANNOCK ST
Boise, ID 83712

(208) 381-2094

✔ PECOS✔ Accepts MedicareSame address

Yee Kuang Cheng, MD

Neurology

NPI 1255828893

190 E BANNOCK ST
Boise, ID 83712

(208) 381-7335

✔ PECOS✔ Accepts MedicareSame address

Brian Gilpin, M.D.

Obstetrics/Gynecology

NPI 1972614956

190 E BANNOCK ST
Boise, ID 83712

(208) 381-2267

✔ PECOS✔ Accepts MedicareSame address

Hailey Groven, LCSW

Clinical Social Worker

NPI 1881254514

190 E BANNOCK ST
Boise, ID 83712

(208) 381-2616

✔ PECOS✔ Accepts MedicareSame address

David Hightower, M.D.

Undersea and Hyperbaric Medicine

NPI 1720089527

190 E BANNOCK ST
Boise, ID 83712

(208) 381-8748

✔ PECOS✔ Accepts MedicareSame address

Jeffrey Lin, MD

Pulmonary Disease

NPI 1891704169

190 E. BANNOCK ST. JEFFERY LIN MD
Boise, ID 83712

(208) 381-2222

✔ PECOS✔ Accepts MedicareSame address

Andrew Peterson, M.D.

Interventional Radiology

NPI 1083842033

190 E BANNOCK ST
Boise, ID 83712

(208) 381-2094

✔ PECOS✔ Accepts MedicareSame address

Sheri Poskanzer, MD

Medical Genetics and Genomics

NPI 1851785067

190 E BANNOCK ST
Boise, ID 83712

(407) 376-9824

✔ PECOS✔ Accepts MedicareSame address

Nathan Roach, MD

Hospice/Palliative Care

NPI 1396206181

190 E BANNOCK ST
Boise, ID 83712

(208) 381-1615

✔ PECOS✔ Accepts MedicareSame address

Grace Adamson, MD

Family Practice

NPI 1497246136

190 E BANNOCK ST
Boise, ID 83712

(208) 381-1615

✔ PECOS✔ Accepts MedicareSame address

Samantha Cragg, M.D.

Physical Medicine and Rehabilitation

NPI 1699071217

305 E JEFFERSON ST
Boise, ID 83712

(083) 815-1112

✔ PECOSSame address

Rebecca Kelley

Clinical Psychologist

NPI 1316568819

305 E JEFFERSON ST
Boise, ID 83712

(208) 381-5000

✔ PECOSSame address

Scott Larson, MD

Ophthalmology

NPI 1992757991

305 E JEFFERSON ST
Boise, ID 83712

(208) 381-7370

✔ PECOS✔ Accepts MedicareSame address

See all 1,352 clinicians

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

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 St Lukes Clinic-Treasure Valley LLC's NPI number?

The NPI number for St Lukes Clinic-Treasure Valley LLC is 1326336058. It was assigned to this organization in the NPPES registry on July 15, 2011.

Where is St Lukes Clinic-Treasure Valley LLC located?

St Lukes Clinic-Treasure Valley LLC is located at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2222.

What is St Lukes Clinic-Treasure Valley LLC's specialty?

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

Is St Lukes Clinic-Treasure Valley LLC enrolled in Medicare?

Yes. St Lukes Clinic-Treasure Valley LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Lukes Clinic-Treasure Valley LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,352 clinicians in 59 Medicare specialties reassign their Medicare billing to St Lukes Clinic-Treasure Valley LLC. 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. The largest specialties are Nurse Practitioner (306), Internal Medicine (117) and Emergency Medicine (105). Of these, 179 practice at this address and 888 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Lukes Clinic-Treasure Valley LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare, Regence BlueCross BlueShield of Oregon and Select Health list St Lukes Clinic-Treasure Valley LLC 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 St Lukes Clinic-Treasure Valley LLC was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.