Individual provider Active NPI

Hailee Li, FNP-BC

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1346014990
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60580 Issued in ID
Practice address
PO Box 1092
Twin Falls, ID 83303-1092
Phone
(208) 595-7563
Fax
(949) 695-4627
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60580 ID Primary

Addresses

Primary practice location

PO Box 1092
Twin Falls, ID 83303-1092

Mailing address

PO Box 1092
Twin Falls, ID 83303-1092
Phone (208) 595-7563

Other practice location 1

1215 Cheney Dr W
Twin Falls, ID 83301-1203
Phone (208) 594-7463

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
I20240307002432 ID Practitioner - Nurse Practitioner 5395181788 Practice locations: Twin Falls, ID

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1215 Cheney Dr W
Twin Falls, ID 83301-1203
Phone (208) 490-1501

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Primary Care LLC CurrentSince Jan 28, 2024 Accepting new patients
Innovation Medical Group PC Family PastSince Dec 1, 2023 Accepting new patients
Taylor G Wright PC Family PastSince Dec 1, 2023 Accepting new patients

Locations

1215 Cheney Dr W
Twin Falls, ID 83301
Phone (208) 490-1501

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1346014990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1092",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833031092",
            "telephone_number": "208-595-7563",
            "fax_number": "949-695-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1092",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833031092",
            "telephone_number": "208-595-7563",
            "fax_number": "949-695-4627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Cheney Dr W",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833011203",
            "country_code": "US",
            "telephone_number": "208-594-7463",
            "fax_number": "949-695-4627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "HAILEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "60580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.