FAMILY AND ADOLESCENT CARE OF TWIN FALLS PA
NPI 1477816809
Nurse Practitioner - Family in Twin Falls, ID
About Family And Adolescent Care Of Twin Falls Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY AND ADOLESCENT CARE OF TWIN FALLS PA (NPI 1477816809) is a healthcare organization registered as a family in Twin Falls, Idaho and active in the NPI registry since June 2012. The organization lists Roanne Mancari, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family And Adolescent Care Of Twin Falls Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Family And Adolescent Care Of Twin Falls PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 13D2044290
Family And Adolescent Care Of Twin Falls · Twin Falls, IDFrequently 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 Family And Adolescent Care Of Twin Falls PA's NPI number?
The NPI number for Family And Adolescent Care Of Twin Falls PA is 1477816809. It was assigned to this organization in the NPPES registry on June 20, 2012.
Where is Family And Adolescent Care Of Twin Falls PA located?
Family And Adolescent Care Of Twin Falls PA is located at 476 Cheney Drive West Suite 160, Twin Falls, ID 83301. The listed phone number is (208) 944-0497.
What is Family And Adolescent Care Of Twin Falls PA's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Family And Adolescent Care Of Twin Falls PA enrolled in Medicare?
Yes. Family And Adolescent Care Of Twin Falls PA is registered in the Medicare PECOS enrollment system.
When is Family And Adolescent Care Of Twin Falls PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Family And Adolescent Care Of Twin Falls PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Family And Adolescent Care Of Twin Falls PA. 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, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Family And Adolescent Care Of Twin Falls PA accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare and University of Utah Health Plans list Family And Adolescent Care Of Twin Falls PA 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 Family And Adolescent Care Of Twin Falls PA was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Family And Adolescent Care Of Twin Falls Pa · NPI 1477816809
Family organization in Twin Falls, Idaho. Organization record, active in the CMS NPPES registry since June 20, 2012.
## Identity
- **NPI:** 1477816809 (Entity type: Organization)
- **Enumerated:** June 20, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Roanne Mancari, OWNER
## Practice location
- **Address:** 476 CHENEY DRIVE WEST, SUITE 160, Twin Falls, ID 83301
- **Phone:** (208) 944-0497 · **Fax:** (208) 944-0506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477816809) · Data from the CMS NPPES public registry.