LIFESTAGES OB-GYN PLLC
NPI 1871618892
Obstetrics & Gynecology in Nampa, ID

Active since March 20, 2007
3908 E FLAMINGO AVE, NAMPA, ID 83687(208) 442-8035(208) 442-8038 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lifestages Ob-gyn Pllc NPPES

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

LIFESTAGES OB-GYN PLLC (NPI 1871618892) is a healthcare organization registered as an obstetrics & gynecology in Nampa, Idaho and active in the NPI registry since March 2007. The organization lists Dustan Hughes, Owner, as its authorized official.

NPPES Registry Identity

NPI1871618892
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameLIFESTAGES OB-GYN PLLC
Location Address3908 E FLAMINGO AVENampa, ID 83687-3102
Mailing Address3908 E Flamingo AveNampa, ID 83687-3102 · (208) 442-8035 · Fax (208) 442-8038
Fax(208) 442-8038
Organization SubpartNo
Authorized OfficialDustan HughesOwner · (208) 442-8038
Enumeration DateMarch 20, 2007
Last NPPES UpdateDecember 26, 2024
NPPES CertifiedDecember 26, 2024
✔ NPI 1871618892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in ID · M8105✔ Licensed in ID · M8055
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3908 E FLAMINGO AVE, Nampa, ID 83687

Other Identifiers 3

Medicaid807138400ID
Medicaid806339500ID
Medicaid806575300ID

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 MULTIPLE 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)

Lifestages Ob-gyn Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Lifestages Ob-Gyn PLLC, 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)

Nurse Practitioner
NPI 1962175646
3908 E FLAMINGO AVE
Nampa, ID 83687
(208) 442-8035
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083595862
3908 E FLAMINGO AVE
Nampa, ID 83687
(208) 442-8035
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1487092292
4424 E FLAMINGO STE 200
Nampa, ID 83687
(208) 302-1400
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1114479862
4424 E FLAMINGO AVE STE 200
Nampa, ID 83687
(208) 302-1400
✔ PECOS✔ Accepts Medicare0.4 mi
Obstetrics/Gynecology
NPI 1770513228
1611 B 12TH AVE RD LIFESTAGES OBGYN
Nampa, ID 83686
(208) 442-8035
✔ PECOS4.0 mi
Obstetrics/Gynecology
NPI 1154344190
1611 B 12TH AVE RD
Nampa, ID 83686
(208) 442-8035
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1538647029
1219 SW 4TH AVE UNIT 1
Ontario, OR 97914
(541) 889-2668
✔ PECOS✔ Accepts Medicare37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lifestages Ob-Gyn PLLC's NPI number?

The NPI number for Lifestages Ob-Gyn PLLC is 1871618892. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Lifestages Ob-Gyn PLLC located?

Lifestages Ob-Gyn PLLC is located at 3908 E Flamingo Ave, Nampa, ID 83687. The listed phone number is (208) 442-8035.

What is Lifestages Ob-Gyn PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lifestages Ob-Gyn PLLC enrolled in Medicare?

Yes. Lifestages Ob-Gyn PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifestages Ob-Gyn PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Lifestages Ob-Gyn 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. The largest specialties are Nurse Practitioner (4) and Obstetrics/Gynecology (3). 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 Lifestages Ob-Gyn PLLC accept?

Health plans from Moda Health Plan, Inc. list Lifestages Ob-Gyn 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 Lifestages Ob-Gyn PLLC was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.