Individual provider Active NPI

Erica L Sommer

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1720794399
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54407 Issued in ID
Practice address
1525 Addison Ave E Ste A2
Twin Falls, ID 83301-5300
Phone
(208) 739-9961
Fax
(208) 739-9962
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 54407 ID Primary

Addresses

Primary practice location

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

Mailing address

1170 Conner CT
Kimberly, ID 83341-5139
Phone (702) 275-5281

Other practice location 1

1170 Conner Ct
Kimberly, ID 83341-5139
Phone (702) 275-5281

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
I20240402002563 ID Practitioner - Nurse Practitioner 5991143521 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finding Home Healthcare, Inc.Group PAC ID 7517248537, 17 clinicians

Practice addresses (Care Compare)

1675 E Riverside Dr
Suite 200
Eagle, ID 83616-7473
Phone (888) 253-6598

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54407IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Finding Home Healthcare, Inc. CurrentSince Nov 14, 2024 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Nov 14, 2024 Accepting new patients
Elite Medicine PC CurrentSince Feb 17, 2024 Accepting new patients
Ma Bo Inc CurrentSince Oct 22, 2024 Accepting new patients

Locations

1555 W Shoreline Dr
Ste 100
Boise, ID 83702
Phone (206) 953-3708

1675 E Riverside Dr
Ste 200
Eagle, ID 83616
Phone (208) 401-1048

496 Shoup Ave W
Ste B
Twin Falls, ID 83301
Phone (208) 734-7676

1525 Addison Ave E
Ste A2
Twin Falls, ID 83301
Phone (228) 739-9961

1201 Falls Ave E
Ste 34
Twin Falls, ID 83301
Phone (208) 423-8694

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

466 E 500 S
Ste 200
Salt Lake Cty, UT 84111
Phone (801) 485-5055

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1720794399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 CONNER CT",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "833415139",
            "telephone_number": "702-275-5281"
        },
        {
            "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": "208-739-9961",
            "fax_number": "208-739-9962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 Conner Ct",
            "address_purpose": "LOCATION",
            "city": "Kimberly",
            "state": "ID",
            "postal_code": "833415139",
            "country_code": "US",
            "telephone_number": "702-275-5281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMMER",
        "first_name": "ERICA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "54407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.