Mr. Mark Mitchell Roubidoux Ii

NP-C | Nurse Practitioner | 6+ years Exp

336 Warner Dr Ste 4a, Lewiston
  Idaho, 83501-4441
208-305-3537
Accepts Medicare Nurse Anesthetist in Lewiston, Idaho.
Mr. Mark Mitchell Roubidoux Ii is a Lewiston, Idaho based nurse practitioner with 6 years of experience in . He completed his graduation in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Mark Mitchell Roubidoux Ii is 39235 in Idaho. His current practice location is 336 Warner Dr Ste 4a, Lewiston. Patients can reach him at 208-305-3537 or can fax him at 877-376-4040. Mr. Mark Mitchell Roubidoux Ii is NP-C and his NPI number (Unique professional ID assigned by NPPES) is 1629685235.
Mr. Mark Mitchell Roubidoux Ii has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Mark Mitchell Roubidoux Ii speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Mark Mitchell Roubidoux Ii
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: NP-C
Experience: 6+ years
Medical School Attended:Other
Graduation Year:2019
Accepts Medicare Assignment:Yes
Practice Address:336 Warner Dr Ste 4a, Lewiston,
Idaho, 83501-4441
Phone:208-305-3537
Fax:877-376-4040
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 9638577828
Enrollment ID: I20211001000545
NPI Number: 1629685235
NPI Enumeration Date: 28 Sep, 2020
NPI Last Update On: 12 Sep, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Mark Mitchell Roubidoux Ii are as mentioned below.
License NumberSpecializationStateStatus
39235 IdahoPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(131327)Moscow, IDCritical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mr. Mark Mitchell Roubidoux Ii is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Gritman Medical Center Inc (0941545784)17
Gritman Medical Center Inc (0941545784)17
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Mark Mitchell Roubidoux Ii
320 E Neider Ave Ste 103,
Coeur D Alene, Idaho
Zip: 83815-6007
Phone Number: 208-930-4944
Fax Number: 877-376-4040
Patients can reach Mr. Mark Mitchell Roubidoux Ii at 336 Warner Dr Ste 4a, Lewiston, Idaho or can call to book an appointment on 208-305-3537.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.