Individual provider Active NPI

Samuel Harrison Barker, D.C., NP-C

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1043301682
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-1452A Issued in 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
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1210 ID
Family Nurse Practitioner 363LF0000X 822860 NV
Family Nurse Practitioner 363LF0000X NP-1452A ID Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141201000651 ID Practitioner - Nurse Practitioner 7113929696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quicker Care PLLCGroup PAC ID 8022437599, 4 clinicians

Practice addresses (Care Compare)

844 Washington St N
Suite 200
Twin Falls, ID 83301-3874
Phone (208) 734-0000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1210IDMDClinical Social Worker
CHIA-1210IDMDChiropractor
NP-1452AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magic Valley Medicine PLLC Family CurrentSince Aug 25, 2014 Accepting new patients
Quicker Care PLLC CurrentSince Sep 18, 2020 Accepting new patients
Magic Valley Medicine PLLC CurrentSince Aug 25, 2014 Accepting new patients

Locations

844 Washington St N
Ste 200
Twin Falls, ID 83301
Phone (208) 734-0000

844 Washington St N
Ste 400
Twin Falls, ID 83301
Phone (208) 734-0000

Interoperability endpoints

  • Direct secure messaging: backtalkdoc@mvm-id.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1043301682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON ST N STE 400",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013874",
            "telephone_number": "208-734-0000",
            "fax_number": "208-735-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON ST N STE 400",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013874",
            "telephone_number": "208-734-0000",
            "fax_number": "208-735-5053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "976 Mountain City Hwy",
            "address_purpose": "LOCATION",
            "city": "Elko",
            "state": "NV",
            "postal_code": "898012728",
            "country_code": "US",
            "telephone_number": "775-777-7587",
            "fax_number": "775-738-9584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "SAMUEL",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "D.C., NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1210",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "822860",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1452A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.