Individual provider Active NPI

Becca Warnick, FNP

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1790347623
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
63303 Issued in ID
Practice address
725 Pole Line Rd W
Twin Falls, ID 83301-5860
Phone
(208) 814-1600
Fax
(208) 814-1910
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 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 63303 ID Primary

Addresses

Primary practice location

725 Pole Line Rd W
Twin Falls, ID 83301-5860

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

1308 8th St Ste 1
Rupert, ID 83350-1535
Phone (208) 436-4322

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
I20201210002249 ID Practitioner - Nurse Practitioner 5698107449 Reassigns benefits to 1 organization

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
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

725 Pole Line Rd W
Twin Falls, ID 83301-5860
Phone (208) 814-1600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Feb 28, 2025 Accepting new patients
St Luke'S Clinic LLC CurrentSince Nov 11, 2024 Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Feb 28, 2025 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1308 8th St
Rupert, ID 83350
Phone (208) 436-4322

1308 8th St
Ste 1
Rupert, ID 83350
Phone (208) 436-4322

1224 8th St
Rupert, ID 83350
Phone (208) 434-8236

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

725 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1600

Interoperability endpoints

  • Direct secure messaging: rwarnick1106766@wm.providencedirect.org

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.

Hospital & facility affiliations 6

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1790347623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 POLE LINE RD W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015860",
            "telephone_number": "208-814-1600",
            "fax_number": "208-814-1910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 8th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rupert",
            "state": "ID",
            "postal_code": "833501535",
            "country_code": "US",
            "telephone_number": "208-436-4322",
            "fax_number": "208-436-1312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNICK",
        "first_name": "BECCA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "63303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.