Individual provider Active NPI

Amy Puhl, RN

  • Nurse Practitioner
  • Lewiston, ID
National Provider Identifier
1861957532
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
67680 Issued in ID
Practice address
2517 17TH St Ste B
Lewiston, ID 83501-6311
Phone
(208) 743-4373
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60695967 WA
Nurse Practitioner 363L00000X 67680 ID Primary

Addresses

Primary practice location

2517 17TH St Ste B
Lewiston, ID 83501-6311

Mailing address

2517 17TH St Ste B
Lewiston, ID 83501-6311
Phone (208) 743-4373

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
I20211110002353 ID Practitioner - Nurse Practitioner 4688063753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearwater GastroenterologyGroup PAC ID 4587800560, 2 clinicians

Practice addresses (Care Compare)

2517 17TH St B
Lewiston, ID 83501-6311
Phone (208) 743-4373

Hospital & facility affiliations

  • Tri-State Memorial Hospital Hospital, Clarkston, WA, CCN 501332
  • St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003
  • St Mary'S Hospital Hospital, Cottonwood, ID, CCN 131321
  • Syringa General Hospital Hospital, Grangeville, ID, CCN 131315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60695967WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Gastroenterology CurrentSince Nov 1, 2021 Accepting new patients
Gem State Endoscopy PastSince Oct 24, 2021 Accepting new patients

Locations

2517 17th St
Ste B
Lewiston, ID 83501
Phone (208) 743-3563

Organizations & group practices 2

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 11

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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1861957532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 17TH ST STE B",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016311",
            "telephone_number": "208-743-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 17TH ST STE B",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016311",
            "telephone_number": "208-743-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUHL",
        "first_name": "AMY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60695967",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "67680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.