| Travis Pehrson, APRN-CNP | |
|
815 N College Rd, Twin Falls, ID 83301-3484 | |
| (208) 814-9100 | |
| (208) 814-9903 |
| Full Name | Travis Pehrson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 815 N College Rd, Twin Falls, Idaho |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215761333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 6361876 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| St Luke's Magic Valley Rmc | Twin falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kootenai Health Inc | 1355792276 | 394 |
| Entity Name | Clearwater Valley Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073551396 PECOS PAC ID: 0547173346 Enrollment ID: O20031117000264 |
| Entity Name | St Marys Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841292307 PECOS PAC ID: 5092773168 Enrollment ID: O20050316000814 |
| Entity Name | Kootenai Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Pehrson, APRN-CNP 190 E Bannock St, Boise, ID 83712-6241 Ph: Not Available | Travis Pehrson, APRN-CNP 815 N College Rd, Twin Falls, ID 83301-3484 Ph: (208) 814-9100 |
Madison Christine Campbell, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 N College Rd, Twin Falls, ID 83301 Phone: 208-814-9100 Fax: 208-814-9903 |
Janice Carter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2086 Addison Ave E, Twin Falls, ID 83301 Phone: 208-733-9697 Fax: 208-733-3197 |
Amy Lou Jensen, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1329 Park View Dr, Twin Falls, ID 83301 Phone: 208-738-7200 Fax: 208-277-3488 |
Lesley D. Goulding, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301 Phone: 208-814-8740 Fax: 208-814-8955 |
Mrs. Amanda Jo Prestigiacomo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 N Haven Dr, Twin Falls, ID 83301 Phone: 208-904-4780 Fax: 208-904-4832 |
Jonathan Kurz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2167 Village Park Ave Ste 300, Twin Falls, ID 83301 Phone: 208-733-5117 |
Mrs. Raemi Dawn Nolevanko, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000 |