AMANDA LUCKOCK NP
NPI 1366044935
Nurse Practitioner - Family in Twin Falls, ID

Q: What is Amanda Luckock's NPI number?

The NPI number for Amanda Luckock is 1366044935. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Q: What is Amanda Luckock'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 Amanda Luckock was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 November 10, 2020PECOS EnrolledAccepts Medicare Assignment

388 MARTIN ST, TWIN FALLS, ID 83301(208) 734-0451 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2024, Mar 17, 2021, Nov 10, 2020 (3 updates tracked since 2020).

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About Amanda Luckock Np NPPES

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

AMANDA LUCKOCK NP (NPI 1366044935) is an individual family provider in Twin Falls, Idaho, licensed in Idaho (53351) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366044935

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA LUCKOCKCredential: NP

Location Address388 MARTIN STTwin Falls, ID 83301-4544

Mailing Address794 Eastland DrTwin Falls, ID 83301-6856 · (208) 734-3312

Phone(208) 734-0451

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 10, 2020

Last NPPES UpdateNovember 13, 20243 updates tracked since enumeration

NPPES CertifiedNovember 13, 2024

✔ NPI 1366044935 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

License✔ Licensed in ID · 53351

Also ListedFamily MedicineTaxonomy 207Q00000X · License 53351 (ID)

388 MARTIN ST, 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, Select Health and more.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

Amanda Luckock Np 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 ID1153737283

PECOS Enrollment IDI20210315001827

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

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

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 14

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

DR. CATHY WHITE CANTY M.D.

Family Medicine