Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Mitchell Roubidoux II, NP-C

Individual provider Nurse Practitioner · NPI 1629685235

Mr. Mark Mitchell Roubidoux II, NP-C is a Nurse Practitioner in Lewiston, Idaho. Qualified in 2019, 7 years ago. Practices with Unlimited Health Chiropractic, a 16-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2020
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

336 Warner Dr Ste 4A
Lewiston, ID 83501-4441
Phone: (208) 305-3537
Fax: (877) 376-4040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 39235 (ID)

Record details

NPI number1629685235
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorYes
NPI enumeratedSeptember 28, 2020
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Unlimited Health Chiropractic — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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