SAMANTHA GONZALES FNP-C
NPI 1962105429
Nurse Practitioner - Family in Twin Falls, ID
About Samantha Gonzales Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA GONZALES FNP-C (NPI 1962105429) is an individual family provider in Twin Falls, Idaho, licensed in Idaho (75813) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains a secondary practice location in Twin Falls.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Gonzales Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Gonzales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Twin Falls, ID 83301
- Reassigned Medicare billing, Idaho enrollment
- Medicare enrollment name: St Lukes Clinic LLC
- 322 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Magic Valley Medical Center
Acute Care Hospitals · Twin Falls, IDSt Luke's Regional Medical Center
Acute Care Hospitals · Boise, IDSt Luke's Jerome
Critical Access Hospitals · Jerome, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samantha Gonzales's NPI number?
The NPI number for Samantha Gonzales is 1962105429. It was assigned to this individual provider in the NPPES registry on March 23, 2023.
Where is Samantha Gonzales located?
Samantha Gonzales practices at 2550 Addison Ave E Ste E, Twin Falls, ID 83301. The listed phone number is (208) 814-7780.
What is Samantha Gonzales's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Gonzales enrolled in Medicare?
Yes. Samantha Gonzales is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Samantha Gonzales's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Gonzales reassigns Medicare benefits to St Luke's Clinic LLC (Twin Falls, ID). The 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 Samantha Gonzales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Gonzales accept?
Health plans from Select Health list Samantha Gonzales 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.
Is Samantha Gonzales affiliated with any hospitals?
According to CMS data, Samantha Gonzales is affiliated with St Lukes Magic Valley Medical Center, St Luke's Regional Medical Center and St Luke's Jerome.
When was this NPI record last updated?
The NPPES record for Samantha Gonzales was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Samantha Gonzales, FNP-C · NPI 1962105429
Family physician in Twin Falls, Idaho. Individual provider, active in the CMS NPPES registry since March 23, 2023.
## Identity
- **NPI:** 1962105429 (Entity type: Individual)
- **Enumerated:** March 23, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 75813 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 2550 ADDISON AVE E STE E, Twin Falls, ID 83301-6748
- **Phone:** (208) 814-7780
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Luke's Clinic LLC (NPI 1790718229, Twin Falls, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 4, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1962105429) · Data from the CMS NPPES public registry.