| Nichole Ann Jeppesen, FNP-C | |
|
10 Madison Professional Park, Rexburg, ID 83440-2058 | |
| (208) 656-9467 | |
| (208) 656-9466 |
| Full Name | Nichole Ann Jeppesen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 10 Madison Professional Park, Rexburg, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275794851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP-865 (Idaho) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NP-865A (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Madison Memorial Hospital | Rexburg, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Complete Family Care Pllc | 9537384557 | 5 |
| Entity Name | Complete Family Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649693649 PECOS PAC ID: 9537384557 Enrollment ID: O20140708001494 |
| Mailing Address | Practice Location Address |
|---|---|
| Nichole Ann Jeppesen, FNP-C 10 Madison Professional Park, Rexburg, ID 83440-2058 Ph: (208) 656-9467 | Nichole Ann Jeppesen, FNP-C 10 Madison Professional Park, Rexburg, ID 83440-2058 Ph: (208) 656-9467 |
Adriann J Wilcox, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-356-5401 Fax: 208-356-3111 | |
Bryce Campbell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900 | |
Troy Hanson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691 | |
Annette Mary Tuft, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 N 2nd E, Rexburg, ID 83440 Phone: 208-359-1770 Fax: 208-359-1780 | |
Beyron Alexis Zecher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900 | |
Arleigh Nash, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 72 S 1st E Ste 101, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-359-1600 |