Nurse Practitioner, Family
CLEARWATER MEDICAL CENTER PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1558452268 · enumerated 2006-09-27 · record updated 2008-12-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. CELSO CHAVEZ MD, Owner Physician · (208) 743-8416
Other names: CLEARWATER MEDICAL CLINIC
Addresses and phones
- Mailing address 1522 17TH ST, LEWISTON, ID, 83501-3652 (208) 743-8416 Fax (208) 743-4642 Google Maps Apple Maps OpenStreetMap
- Practice location 1522 17TH ST, LEWISTON, ID, 83501-3652 (208) 743-8416 Fax (208) 743-4642 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · License A87025 ID
- Nurse Practitioner, Family 363LF0000X · License NP740A ID
- Nurse Practitioner, Family 363LF0000X · License NP751A ID
- Nurse Practitioner, Family 363LF0000X · License NP372A ID
- Nurse Practitioner, Family 363LF0000X · License NP388A ID
- Nurse Practitioner, Family 363LF0000X · License NP390A ID
- Nurse Practitioner, Family 363LF0000X · Primary · License NP361A
In this directory
Locations and evidence
-
Practice location
LEWISTON, ID, 835013652
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.