Services
Nephrology and Hypertension Diagnosis and Treatment, including:

• Consultation, screening, and education of the adult nephrology, internal medicine, and hypertension patient
• Chronic kidney disease care in the clinic
• End-stage renal disease care in the dialysis unit
• Hemodialysis, peritoneal dialysis, home hemodialysis
• Acute dialysis in the hospital
• Continuous renal replacement therapy in the hospital
• Temporary dialysis catheter placement
• Kidney biopsy
• Dialysis vascular access management
• 24-hour ambulatory blood pressure monitoring
• Access to rural clinics in southwest Idaho and eastern Oregon

New Patients / Appointments
Accepting new patients via referral.

After-hours and Weekends
In an emergency, call 911. Otherwise, call (208) 381-9026 and leave voice message.

St. Luke's Clinics
St. Luke’s Clinics are an integrated network of highly skilled health care professionals in locations throughout our region. 

Our Medical Providers

	Micheal Adcox, MD joined St. Luke's to form St. Luke's Clinic – Nephrology, dedicated to providing specialized care for patients with kidney disease or hypertension. He earned his medical degree from the University of Washington in Seattle, and completed his internal medicine residency and nephrology fellowship through the University of Washington Affiliated Hospitals. Dr. Adcox also earned his undergraduate degree in biology from Boise State University. He is board certified in internal medicine and nephrology, and is involved in all aspects of nephrology care.
	Valerie L. Lee, NP-C earned her nursing degree from the University of South Alabama and her Masters in Science degree from Northern Arizona University as a certified family nurse practitioner. She has extensive experience in internal medicine, including management of diabetes, hypertension, and chronic kidney disease. Val will be seeing patients in Boise and at outreach clinics including eastern Oregon.
	Sarah Sparks, FNP is experienced in family medicine and the management of chronic disease. She is certified by the American Academy of Nurse Practitioners, and has particular interests in chronic kidney disease resulting from diabetes mellitus and hypertension and in the care of patients in the end stage of renal disease. She earned her Bachelor of Science in Nursing and Family Nurse Practitioner/Master of Science in Nursing degrees from Idaho State University in Pocatello.

Your Appointment
We try to stay on time, as a courtesy to you and others. Since paperwork may take a few minutes, please arrive early. As emergencies do occur, there may be occasions when your appointment time will be delayed. We will always try to keep you informed in the event of a delay, and will be happy to reschedule your appointment, if you prefer. We ask that you respect the appointment time we have reserved for you, and call 24 hours ahead to cancel or change appointments so that others may be helped during that time.

Communication with your provider is extremely important. It may be helpful for you to write down questions for your doctor or nurse practitioner prior to your visit. Bring a list of medications and the dosages, or bring the bottles with you.

Make sure you understand any instructions you are given. If clarification is needed, review your instructions with the provider or medical assistant before you leave. If you aren’t doing well after your visit, we want to hear from you. Our goal is to improve your health.

Insurance Plans
We accept most insurance plans, including Medicare, in-state Medicaid, Tricare, Blue Cross/Blue Shield, and others.

Medication Refills
Talk with your provider at each visit to be sure your prescriptions are up to date. For refills, contact your pharmacy. Your pharmacy will then contact our office for verification and approval. For patient safety, narcotics cannot be refilled outside of office hours. Talk with your provider before your prescription runs out, and please allow 48 hours for refills.