LUCUS CRAIG WEBB CHRISTOFFERSEN (NP) – Nurse Practitioner, NPI 1629685177

LUCUS CRAIG WEBB CHRISTOFFERSEN (NP) is a healthcare provider. based in Idaho falls, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 7367561-4405 (UT). The NPI Number for LUCUS CRAIG WEBB CHRISTOFFERSEN (NP) is 1629685177

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
LUCUS CRAIG WEBB CHRISTOFFERSEN (NP)
NPI
1629685177
Phone
(208) 530-1326
Address
1554 RICHLAND CIR
Enumeration Date
29 September 2020
Last Update Date
23 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013877880
Graduation Year
2015 (11 years ago)
PAC ID
1557778222
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20230411002414
Address ID
UT844033326OG4403XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for LUCUS CRAIG WEBB CHRISTOFFERSEN (NP)

  • 1554 RICHLAND CIR

    IDAHO FALLS, ID 834014091

    Phone: (208) 530-1326

    Type: Mailing

  • 98 POPLAR ST

    BLACKFOOT, ID 832211799

    Phone: (208) 785-4100

    Type: Location

  • PO BOX 37174

    BALTIMORE, MD 212973174

    Phone: (571) 423-5699

    Fax: (571) 423-5698

    Type: Mailing

  • 4320 SEMINARY RD

    ALEXANDRIA, VA 223041535

    Phone: (703) 799-1688

    Fax: (703) 799-4092

    Type: Location

  • 4403 HARRISON BLVD STE 2815

    OGDEN, UT 844033326

    Phone: (801) 387-7880

    Type: Mailing

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: 2023-04-11

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
I20230411002414INurse PractitionerUTTBD

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 minutes9364$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2423$0
99239Hospital discharge day management, more than 30 minutes2121$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1312$0
99284Emergency department visit with moderate level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 83401)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

Is LUCUS CRAIG WEBB CHRISTOFFERSEN (NP) listed with a National Provider Identifier?
Yes — LUCUS CRAIG WEBB CHRISTOFFERSEN (NP) has NPI 1629685177 on file in the registry.
Is there an active status for LUCUS CRAIG WEBB CHRISTOFFERSEN (NP)?
For scheduling context, LUCUS CRAIG WEBB CHRISTOFFERSEN (NP) is shown as active in the registry.
What kind of doctor is LUCUS CRAIG WEBB CHRISTOFFERSEN (NP)?
LUCUS CRAIG WEBB CHRISTOFFERSEN (NP) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is LUCUS CRAIG WEBB CHRISTOFFERSEN (NP) associated with Idaho Falls?
Public fields place LUCUS CRAIG WEBB CHRISTOFFERSEN (NP) around Idaho Falls, Idaho. Always confirm the exact site before visiting.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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