Samuel Harrison Barker, D.C., NP-C
Individual provider Active NPI Family Nurse Practitioner · Twin Falls, ID
NPI 1043301682 · NPPES record last updated Jun 10, 2020
Key facts
- NPI
- 1043301682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP-1452A (ID)
- Practice address
- 844 Washington St N Ste 400
Twin Falls, ID 83301-3874 - Phone
- (208) 734-0000
- Fax
- (208) 735-5053
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quicker Care PLLC
Practice addresses (Care Compare)
844 Washington St N
Suite 200
Twin Falls, ID 83301-3874
Phone (208) 734-0000
Hospital & facility affiliations
- St Lukes Magic Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141201000651 | ID | Practitioner - Nurse Practitioner | 7113929696 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1210 | ID | MD | Clinical Social Worker |
| CHIA-1210 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quicker Care PLLC | Current |
Accepting new patients | |
| Magic Valley Medicine PLLC | Current |
Accepting new patients | |
| Magic Valley Medicine PLLC | Family | Current |
Accepting new patients |
Locations
844 Washington St N
Ste 400
Twin Falls, ID 83301
Phone (208) 734-0000
844 Washington St N
Ste 200
Twin Falls, ID 83301
Phone (208) 734-0000
Interoperability endpoints
- backtalkdoc@mvm-id.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1210 | ID | |
| Family Nurse Practitioner | 363LF0000X | 822860 | NV | |
| Family Nurse Practitioner | 363LF0000X | NP-1452A | ID | Yes |
Addresses
Primary practice location
844 Washington St N Ste 400
Twin Falls, ID 83301-3874
Mailing address
844 Washington St N Ste 400
Twin Falls, ID 83301-3874
Phone (208) 734-0000
Other practice location 1
976 Mountain City Hwy
Elko, NV 89801-2728
Phone (775) 777-7587
Other providers in Twin Falls, ID
- Barbara J Jensen MD PC
- Connor Barbour
- Bryce R Barfuss
- Jonathan D Barker
- Samuel Fox Barker
- Susan Barker
- Nicole Dawn Bartlett
- Michael Barton
- Corinne Bartschi
- Gretchen G Basen
All providers in Twin Falls, ID · Family Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.