Mrs Codie M Robertson, FNP-C - Medicare Nurse Practitioner in Pocatello, ID

Mrs Codie M Robertson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Pocatello, Idaho. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Health West Inc and her current practice location is 110 Vista Dr, Pocatello, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 234-2300.

Mrs Codie M Robertson is licensed to practice in Idaho (license number NP-1210A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134477870.

Contact Information

Mrs Codie M Robertson, FNP-C
110 Vista Dr,
Pocatello, ID 83201-4520
(208) 234-2300
Not Available

Map and Direction




Provider's Profile

Full NameMrs Codie M Robertson
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location110 Vista Dr, Pocatello, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Codie M Robertson graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1134477870
  • Provider Enumeration Date: 08/28/2012
  • Last Update Date: 01/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7214178318
  • Enrollment ID: I20130801000652

Medical Identifiers

Medical identifiers for Mrs Codie M Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134477870NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP-1210A (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Portneuf Medical CenterPocatello, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Health West Inc498150093147

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Codie M Robertson allows following entities to bill medicare on her behalf.
Entity NamePocatello Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689802852
PECOS PAC ID: 6608927637
Enrollment ID: O20090701000646
Entity NamePrimary Care Specialists Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508875881
PECOS PAC ID: 4082699574
Enrollment ID: O20210323002420

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Codie M Robertson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Codie M Robertson, FNP-C
5330 Stuart Ave,
Chubbuck, ID 83202-2262

Ph: (208) 221-6187
Mrs Codie M Robertson, FNP-C
110 Vista Dr,
Pocatello, ID 83201-4520

Ph: (208) 234-2300

Reviews and Comments


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Jason Montgomery, NP-C
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Phone: 208-239-2580    Fax: 208-239-2580
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Phone: 208-239-3899    Fax: 208-232-2195
Ms. Amie Beth Kenyen, NP-C
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Practice Location: 1155 Yellowstone Ave Ste D, Pocatello, ID 83201
Phone: 208-637-9610    Fax: 208-238-6162

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.