DR. SAMANTHA RENEE ETEVE (DO) – Internal Medicine Physician, NPI 1295363687

DR. SAMANTHA RENEE ETEVE (DO) is a healthcare provider. based in Idaho falls, Idaho. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. O-1654 (ID). The NPI Number for DR. SAMANTHA RENEE ETEVE (DO) is 1295363687

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMANTHA RENEE ETEVE (DO)
NPI
1295363687
Phone
(360) 391-2397
Address
1184 ATLANTIC ST
Enumeration Date
31 March 2020
Last Update Date
1 October 2025

Doctor Profile

Medical School Name
ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
2082051000
Graduation Year
2020 (6 years ago)
PAC ID
7012330673
Group Practice PAC ID
4688705346
Professional Enrollment ID
I20230926000444
Address ID
ID836873138NA4300XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

560 INTERNAL MEDICINE in ID

Provider Addresses for DR. SAMANTHA RENEE ETEVE (DO)

  • 1184 ATLANTIC ST

    IDAHO FALLS, ID 834047054

    Phone: (360) 391-2397

    Type: Mailing

  • 4300 E Flamingo Ave

    Nampa, ID 836873138

    Phone: (208) 463-5000

    Type: Location

  • PO BOX 190930

    BOISE, ID 837190930

    Phone: (208) 367-5170

    Fax: (208) 367-5180

    Type: Mailing

  • 3100 CHANNING WAY

    IDAHO FALLS, ID 834047533

    Phone: (208) 227-2850

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-09-26

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
I20230926000444IInternal MedicineIDTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4028$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2918$0
99239Hospital discharge day management, more than 30 minutes2727$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 83404)

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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: 4688705346View full group profile
NameSpecialtyState
Internal Medicine, HospitalistOR
Family Practice, General PracticeID
Family Practice, Internal MedicineID
Internal MedicineNY
-WA
Internal MedicineWA
Internal MedicineWA
Physician AssistantID
Internal MedicineID
Hospitalist, Internal MedicineWA

Reviews

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Frequently asked questions

What number should I use to identify DR. SAMANTHA RENEE ETEVE (DO) for billing?
Administrative and clinical systems typically use NPI 1295363687 for DR. SAMANTHA RENEE ETEVE (DO).
Is DR. SAMANTHA RENEE ETEVE (DO) currently accepting referrals based on NPI status?
Registry metadata lists DR. SAMANTHA RENEE ETEVE (DO) as active.
What type of care does DR. SAMANTHA RENEE ETEVE (DO) provide?
DR. SAMANTHA RENEE ETEVE (DO)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. SAMANTHA RENEE ETEVE (DO)?
The directory associates DR. SAMANTHA RENEE ETEVE (DO) with Idaho Falls, Idaho. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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