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PRISTINE HEALTH LLC.
NPI 1891624466
Nurse Practitioner - Family in Twin Falls, ID

Active since May 18, 2026CLIA 13D2346805 · Waiver
844 WASHINGTON ST N STE 100, TWIN FALLS, ID 83301(208) 544-0070(208) 277-1166 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pristine Health Llc. NPPES

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

PRISTINE HEALTH LLC. (NPI 1891624466) is a healthcare organization registered as a family in Twin Falls, Idaho and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Amanda Hamann, Authorized Official/owner, as its authorized official.

NPPES Registry Identity

NPI1891624466
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRISTINE HEALTH LLC.
Location Address844 WASHINGTON ST N STE 100Twin Falls, ID 83301-3874
Mailing Address844 Washington St N Ste 100Twin Falls, ID 83301-3874 · (208) 544-0070 · Fax (208) 277-1166
Phone(208) 544-0070
Fax(208) 277-1166
Organization SubpartNo
Authorized OfficialAmanda HamannAuthorized Official/owner · (208) 539-3858
Enumeration DateMay 18, 2026
NPPES CertifiedMay 18, 2026
✔ NPI 1891624466 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
844 WASHINGTON ST N STE 100, Twin Falls, ID 83301
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pristine Health Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pristine Health LLC., which bills Medicare for the services this clinician delivers.

Clinician (1)

Amanda Hamann, DNP-FNP
Nurse Practitioner
NPI 1225924608
844 WASHINGTON ST N STE 100
Twin Falls, ID 83301
(208) 544-0070
✔ 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 13D2346805

Pristine Health · Twin Falls, ID
Active · expires Jul 6, 2028
CLIA Number13D2346805
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorAmanda C. Hamann
Laboratory Phone(208) 544-0070
Laboratory LocationPristine Health844 Washington St N Ste 100, 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 Pristine Health LLC.'s NPI number?

The NPI number for Pristine Health LLC. is 1891624466. It was assigned to this organization in the NPPES registry on May 18, 2026.

Where is Pristine Health LLC. located?

Pristine Health LLC. is located at 844 Washington St N Ste 100, Twin Falls, ID 83301. The listed phone number is (208) 544-0070.

What is Pristine Health LLC.'s specialty?

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

Is Pristine Health LLC. enrolled in Medicare?

Yes. Pristine Health LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pristine Health LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pristine Health 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pristine Health LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2346805) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pristine Health LLC. was last updated on May 18, 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.