Individual provider Active NPI

Rialey M Hawkes, FNP

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1700430113
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
62271 Issued in ID
Practice address
738 N College Rd Ste a
Twin Falls, ID 83301-3386
Phone
(208) 933-4913
NPI assigned
Jul 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 62271 ID
Family Nurse Practitioner 363LF0000X 62271 ID Primary

Addresses

Primary practice location

738 N College Rd Ste a
Twin Falls, ID 83301-3386

Mailing address

459 Park Terrace Dr
Twin Falls, ID 83301-3211
Phone (208) 312-6061

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
I20191112002222 ID Practitioner - Nurse Practitioner 9739511890 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Canyon Medical Center IncGroup PAC ID 0941371439, 73 clinicians

Practice addresses (Care Compare)

491 Heritage Dr
Jerome, ID 83338-6701
Phone (208) 644-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
73.19

Merit-based Incentive Payment System (MIPS)

Final score
48.31 of 100Reported as group
Quality
45.81
Promoting interoperability
0
Improvement activities
40
Cost
65.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62271IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Canyon Medical Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Sciuridae Boyz, PLLC Family CurrentSince Nov 1, 2023 Accepting new patients
North Canyon Medical Center Inc. CurrentSince Oct 1, 2025 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients
Inland Cardiology Associates, P.S. Past Accepting new patients
Minidoka Memorial Hospital Family Past Accepting new patients

Locations

718 Highway 30
Buhl, ID 83316
Phone (208) 543-4785

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

491 Heritage Dr
Jerome, ID 83338
Phone (208) 644-7500

738 N College Rd
Ste A
Twin Falls, ID 83301
Phone (208) 814-5075

738 N College Rd
Ste C
Twin Falls, ID 83301
Phone (208) 814-7100

738 N College Rd
Ste B
Twin Falls, ID 83301
Phone (208) 735-3600

Organizations & group practices 7

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.

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": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1700430113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 PARK TERRACE DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013211",
            "telephone_number": "208-312-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 N COLLEGE RD STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013386",
            "telephone_number": "208-933-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKES",
        "first_name": "RIALEY",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "ID",
            "license": "62271",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "62271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.