FPM PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

FPM PLLC

Doing business as

Snake River Infusion & Wellness

Practice address

585 Washington St N
Twin Falls, ID 83301-3802

Phone

(208) 420-1830

NPI assigned

Mar 5, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Michael Kenneth Wucinich, PA-C, MPHNPI 1407223274

Title

President/Physician Assistant

Phone

(208) 420-1830

Specialties & licenses 1

Addresses

Other names 1

• Snake River Infusion & Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Kenneth Wucinich, PA-C

  • Medical Physician Assistant
  • Twin Falls, ID
  • NPI 1407223274
  NPD (past) Authorized official

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

{
    "created_epoch": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1518813245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 OAKRIDGE RD",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "833411818",
            "telephone_number": "208-420-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 WASHINGTON ST N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013802",
            "telephone_number": "208-420-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "WUCINICH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "208-420-1830",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C, MPH"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snake River Infusion & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian W Fortuin, M.D.
• Brandon Fowler
• Kristi Jean Fowler, LMFT
• Fox Chiropractic Clinic P.a.
• Alan Fox, P.A.
• Travis Frakes, PHARMD
• Karen E Franklin, RPH
• Fred Meyer Pharmacy
• Fred Meyer Stores Inc
• Freedom in Choices LLC

• Physician Assistant in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.