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MAVERICK MITTON FNP-C
NPI 1396602249
Nurse Practitioner - Family in Twin Falls, ID

Active since January 05, 2026PECOS EnrolledAccepts Medicare Assignment
775 POLE LINE RD W STE 103, TWIN FALLS, ID 83301(208) 814-8375(208) 814-8376 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, Jan 5, 2026 (2 updates tracked since 2026).

About Maverick Mitton Fnp-c NPPES

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

MAVERICK MITTON FNP-C (NPI 1396602249) is an individual family provider in Twin Falls, Idaho, licensed in Idaho (5671698) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396602249
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMAVERICK MITTONCredential: FNP-C
Location Address775 POLE LINE RD W STE 103Twin Falls, ID 83301-5819
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 814-8375
Fax(208) 814-8376
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 5, 2026
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1396602249 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 · 5671698
775 POLE LINE RD W STE 103, Twin Falls, ID 83301
Open in Google Maps ↗

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

Maverick Mitton Fnp-c 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 ID5395229876
PECOS Enrollment IDI20260323002606
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 5

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

EMILY NICOLE MONTAGUE CNP
Nurse Practitioner (Family)
775 POLE LINE RD W STE 103
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8375
ERIN MABEY PA-C
Physician Assistant
775 POLE LINE RD W STE 103
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8375
DR. BRUCE E. GOLLUB M.D.
Family Medicine
775 POLE LINE RD W STE 103
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8375
JACOB LARSEN PA
Physician Assistant
775 POLE LINE RD W STE 103
TWIN FALLS, ID 83301
Twin Falls County (480) 620-2084
TOBY CHRISTOPHER ROOD RN, NP-C
Nurse Practitioner (Family)
775 POLE LINE RD W STE 103
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8375

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 Maverick Mitton's NPI number?

The NPI number for Maverick Mitton is 1396602249. It was assigned to this individual provider in the NPPES registry on January 5, 2026.

Where is Maverick Mitton located?

Maverick Mitton practices at 775 Pole Line Rd W Ste 103, Twin Falls, ID 83301. The listed phone number is (208) 814-8375.

What is Maverick Mitton's specialty?

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

Is Maverick Mitton enrolled in Medicare?

Yes. Maverick Mitton 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.

Is Maverick Mitton affiliated with any hospitals?

According to CMS data, Maverick Mitton is affiliated with St Lukes Magic Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Maverick Mitton was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.