| Sara Wilson, | |
|
1074 W Main St, Middleton, ID 83644-5270 | |
| (208) 989-9909 | |
| (208) 266-9234 |
| Full Name | Sara Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1074 W Main St, Middleton, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417338104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP-1568A (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Valley Medical Center | Caldwell, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain West Spine Llc | 7214475797 | 2 |
| Entity Name | Southern Idaho Health Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952701401 PECOS PAC ID: 5395063564 Enrollment ID: O20150420000863 |
| Entity Name | Mountain West Spine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982462008 PECOS PAC ID: 7214475797 Enrollment ID: O20240815000192 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Wilson, 1074 W Main St, Middleton, ID 83644-5270 Ph: (208) 989-9909 | Sara Wilson, 1074 W Main St, Middleton, ID 83644-5270 Ph: (208) 989-9909 |
Suzanne Elise Monaghan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 381 S Middleton Rd Ste B, Middleton, ID 83644 Phone: 208-585-6311 | |
Beverlee K Furner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 S 1st Ave E, Middleton, ID 83644 Phone: 208-585-0048 Fax: 208-585-6242 | |
Rebecca Ann Swainston, MS FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 381 S Middleton Rd Ste B, Middleton, ID 83644 Phone: 208-585-6311 Fax: 208-585-6221 | |
Mrs. Erin Keller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 S. 1st Ave. E, Middleton, ID 83644 Phone: 208-585-6311 Fax: 208-585-6221 | |
Jenifer A. Hughes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24789 Hartley Ln, Middleton, ID 83644 Phone: 208-484-6091 | |
Christina Marie Jones, DNP-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 381 S Middleton Rd Ste B, Middleton, ID 83644 Phone: 208-585-6311 Fax: 208-585-6221 |