ST LUKE'S CLINIC LLC
NPI 1790718229
Family Medicine in Twin Falls, ID
About St Luke's Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST LUKE'S CLINIC LLC (NPI 1790718229), doing business as St Lukes Clinic - Magic Valley/jerome, is a healthcare organization registered as a family medicine in Twin Falls, Idaho and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Jerome, and lists Kathryn Fowler, Senior Vp, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Other Names 2
Secondary Practice Location 1
Other Identifiers 4
Group Practice 1
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)
St Luke's Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
360Medicare enrollment records show 360 clinicians reassign Medicare billing to St Luke's Clinic LLC, which bills Medicare for the services they deliver. Of these, 89 practice at this address and 223 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 42
Nearest to this location (20)
See all 360Twin Falls, ID 83301
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 2
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 for Provider-Performed Microscopy Procedures (PPMP) 13D2172039
St Luke's Clinic Jerome Family Medicine · Jerome, IDCertificate of Waiver 13D2173899
St Luke's Clinic-Occupational Health · Jerome, 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 St Luke's Clinic LLC's NPI number?
The NPI number for St Luke's Clinic LLC is 1790718229. It was assigned to this organization in the NPPES registry on July 8, 2006. The provider is doing business as St Lukes Clinic - Magic Valley/Jerome and St Lukes Jerome RHC.
Where is St Luke's Clinic LLC located?
St Luke's Clinic LLC is located at 775 Pole Line Rd W, Twin Falls, ID 83301. The listed phone number is (208) 814-1000.
What is St Luke's Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is St Luke's Clinic LLC enrolled in Medicare?
Yes. St Luke's Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Luke's Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 360 clinicians in 42 Medicare specialties reassign their Medicare billing to St Luke's Clinic 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 (68), Diagnostic Radiology (46) and Family Practice (36). Of these, 89 practice at this address and 223 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St Luke's Clinic LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does St Luke's Clinic LLC accept?
Health plans from Moda Health Plan, Inc. list St Luke's Clinic 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 Luke's Clinic LLC was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# St Luke's Clinic Llc · NPI 1790718229
Family Medicine organization in Twin Falls, Idaho. Organization record, active in the CMS NPPES registry since July 8, 2006.
## Identity
- **NPI:** 1790718229 (Entity type: Organization)
- **Enumerated:** July 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** St Lukes Clinic - Magic Valley/Jerome (Doing Business As); St Lukes Jerome RHC (Doing Business As)
- **Organization subpart:** Yes (part of St Lukes Magic Valley Regional Medical Center Ltd)
- **Authorized official:** Kathryn Fowler, SENIOR VP, CFO
## Practice location
- **Address:** 775 POLE LINE RD W, Twin Falls, ID 83301-5814
- **Phone:** (208) 814-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 360 clinicians in 42 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (68), Diagnostic Radiology (46), Family Practice (36); 89 practice at this address and 223 within 10 miles; [full list](https://npiprofile.com/npi/1790718229/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2026
- **Other identifiers:** Medicaid 806593000 (ID); Other 1257846 (ID); Other 133992 (ID); and 1 more
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1790718229) · Data from the CMS NPPES public registry.