WALKING E FAMILY PRACTICE PLLC
NPI 1710738968
Nurse Practitioner - Family in Twin Falls, ID

Active since March 27, 2024CLIA 13D2304149 · Waiver
857 POLK ST, TWIN FALLS, ID 83301(208) 731-9404(208) 213-9822 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2024, Apr 9, 2024 (2 updates tracked since 2024).

About Walking E Family Practice Pllc NPPES

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

WALKING E FAMILY PRACTICE PLLC (NPI 1710738968) is a healthcare organization registered as a family in Twin Falls, Idaho and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Joann Habbaba, Patient Services Coordinator, as its authorized official.

NPPES Registry Identity

NPI1710738968
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWALKING E FAMILY PRACTICE PLLC
Location Address857 POLK STTwin Falls, ID 83301-4095
Mailing Address857 Polk StTwin Falls, ID 83301-4095 · (208) 731-9404
Fax(208) 213-9822
Organization SubpartNo
Authorized OfficialJoann HabbabaPatient Services Coordinator · (208) 731-9404
Enumeration DateMarch 27, 2024
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1710738968 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
857 POLK ST, Twin Falls, ID 83301

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)

Walking E Family Practice 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 Walking E Family Practice PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1174116180
857 POLK ST
Twin Falls, ID 83301
(208) 731-9404
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255160347
857 POLK ST
Twin Falls, ID 83301
(208) 731-9404
✔ PECOS✔ Accepts MedicareSame address

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 13D2304149

Walking E Family Practice · Twin Falls, ID
Active · expires May 7, 2028
CLIA Number13D2304149
Laboratory TypePractitioner Other
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorStacie A. Benkula
Laboratory Phone(208) 731-9404
Laboratory LocationWalking E Family Practice857 Polk St, Twin Falls, ID 83301
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 Walking E Family Practice PLLC's NPI number?

The NPI number for Walking E Family Practice PLLC is 1710738968. It was assigned to this organization in the NPPES registry on March 27, 2024.

Where is Walking E Family Practice PLLC located?

Walking E Family Practice PLLC is located at 857 Polk St, Twin Falls, ID 83301. The listed phone number is (208) 731-9404.

What is Walking E Family Practice PLLC's specialty?

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

Is Walking E Family Practice PLLC enrolled in Medicare?

Yes. Walking E Family Practice PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Walking E Family Practice PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Walking E Family Practice PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Walking E Family Practice PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2304149) is associated with this NPI, valid through May 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walking E Family Practice PLLC accept?

Health plans from Molina Healthcare list Walking E Family Practice 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 Walking E Family Practice PLLC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.