Andrew W Nistler

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2871990 Issued in ID

Practice address

1525 Addison Ave E Ste A2
Twin Falls, ID 83301-5300

Phone

(406) 202-4333

NPI assigned

Mar 2, 2026

Last updated

Jun 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Medicine PCGroup PAC ID 2365823069, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Medicine PC

  dba Genesis Restorative Medicine

  • Multi-Specialty Clinic/Center
  • Twin Falls, ID
  • NPI 1487393393

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Genesis Advanced Wound Care PC

  • Primary Care Nurse Practitioner
  • Spokane, WA
  • NPI 1154117125
  Medicare reassignment NPD

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1124973623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11688 N KENSINGTON AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838357581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 ADDISON AVE E STE A2",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015300",
            "telephone_number": "406-202-4333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 W Riverside Ave Ste 8283",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010580",
            "country_code": "US",
            "telephone_number": "208-739-9961",
            "fax_number": "208-739-9962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISTLER",
        "first_name": "ANDREW",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "70100432",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "2871990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciera L Nielsen, PHARMD
• Janice Carson Nielsen, LMSW,CSW,CFLE
• Nielson Family Chiropractic Inc
• Chad J Nielson, D.C.
• Ryan Matthew Nielson, DDS
• Cynthia M Nixon, LMSW
• Kurtis Wayne Nokes, PHARMD
• Raemi Dawn Nolevanko, FNP-C
• Heather McDonald Nope, PA-C
• Norco, Inc.

• Family Nurse Practitioner in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.