Individual provider Active NPI

Erica Cameron, NP

  • Primary Care Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1184856783
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
59904 Issued in ID
Practice address
260 Falls Ave Ste B
Twin Falls, ID 83301-3370
Phone
(208) 539-3511
NPI assigned
Aug 14, 2009
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 59904 ID
Registered Nurse 163W00000X 201603681 RN OR
Primary Care Nurse Practitioner 363LP2300X 59904 ID Primary
Adult Health Nurse Practitioner 363LA2200X 201603682NPPP OR

Addresses

Primary practice location

260 Falls Ave Ste B
Twin Falls, ID 83301-3370

Mailing address

260 Falls Ave Ste B
Twin Falls, ID 83301-3370
Phone (208) 539-3155

Other practice location 1

2175 Candlewood Ave Ste A
Twin Falls, ID 83301-8363
Phone (208) 539-3511

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
I20200427000655 ID Practitioner - Nurse Practitioner 0042357881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

260 Falls Ave
Suite B
Twin Falls, ID 83301-3370
Phone (208) 539-3155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201603681 RNORMDRegistered Nurse
201603682NPPPORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Regenerative Medicine PLLC Primary Care CurrentSince May 2, 2023 Accepting new patients
Atlanta Cancer Care Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients

Locations

1411 Falls Ave E
Ste 1301
Twin Falls, ID 83301
Phone (208) 732-0067

260 Falls Ave
Ste B
Twin Falls, ID 83301
Phone (208) 539-3155

621 N College Rd
Ste 103
Twin Falls, ID 83301

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25435/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EBHGDD/Endpoint/EBHGDD

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": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1184856783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 FALLS AVE STE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013370",
            "telephone_number": "208-539-3155",
            "fax_number": "833-505-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 FALLS AVE STE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013370",
            "telephone_number": "208-539-3511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 Candlewood Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833018363",
            "country_code": "US",
            "telephone_number": "208-539-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "ERICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ID",
            "license": "59904",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201603681 RN",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "59904",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201603682NPPP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.