Emma Andreasen

Individual provider Active NPI Nurse Practitioner · Twin Falls, ID

NPI 1083578413 · NPPES record last updated Mar 31, 2026

Key facts

NPI
1083578413
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
5281605 (ID)
Practice address
625 Pole Line Rd W Ste 2a
Twin Falls, ID 83301-4270
Phone
(208) 814-7271
Fax
(208) 814-7290
NPI assigned
Dec 10, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5281605IDMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5281605 ID Yes

Addresses

Primary practice location

625 Pole Line Rd W Ste 2a
Twin Falls, ID 83301-4270

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8866

Other names

  • Emma Pike Other name

Other providers in Twin Falls, ID

All providers in Twin Falls, ID · Nurse Practitioner in Idaho

Sources for this page

Verify at the official NPI Registry.