ALISHA LORRAINE PHILLIPS (FNP) – Family Nurse Practitioner, NPI 1205972544

ALISHA LORRAINE PHILLIPS (FNP) is a healthcare provider. based in Payette, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. N-19189 (ID). The NPI Number for ALISHA LORRAINE PHILLIPS (FNP) is 1205972544

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
ALISHA LORRAINE PHILLIPS (FNP)
NPI
1205972544
Phone
(208) 642-3396
Address
823 CENTER AVE
Enumeration Date
30 January 2007
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
6709838030
Group Practice PAC ID
2062463979
Professional Enrollment ID
I20050215000917
Address ID
ID836610309PAPOXXXBOXX201
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

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Provider Addresses for ALISHA LORRAINE PHILLIPS (FNP)

  • 823, Center Avenue, Payette Heights, Payette, Payette County, Idaho, 83661, United States

    PAYETTE, ID 836612535

    Phone: (208) 642-3396

    Fax: (208) 642-9060

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,276.

Total Amount is formed as General ($1,276) + Research ($0) + Ownership ($0) = $1,276.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($383).

Total Amount

$1,276

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,276

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-02-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050215000917INurse PractitionerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes14563$0
99215Established patient office or other outpatient visit, 40-54 minutes13567$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4848$0
96127Assessment of emotional or behavioral problems1615$0
83036Hemoglobin a1c level1311$0
View full utilization report →

Insurance plans in this area (ZIP 83661)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062463979View full group profile
NameSpecialtyState
Nurse PractitionerID
Nurse PractitionerID
Nurse PractitionerID

Reviews

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Frequently asked questions

Where can patients find ALISHA LORRAINE PHILLIPS (FNP)'s NPI?
You can confirm ALISHA LORRAINE PHILLIPS (FNP) with NPI 1205972544; it appears in the national provider directory.
Is ALISHA LORRAINE PHILLIPS (FNP)'s NPI currently valid?
The extract we use shows ALISHA LORRAINE PHILLIPS (FNP) as active.
What kind of provider is ALISHA LORRAINE PHILLIPS (FNP)?
The page reflects Family Nurse Practitioner for ALISHA LORRAINE PHILLIPS (FNP). Clinical services aligned with this taxonomy classification.
What location shows for ALISHA LORRAINE PHILLIPS (FNP)?
We surface Payette, Idaho for ALISHA LORRAINE PHILLIPS (FNP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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