| Roberta J Bostian, AGACNP | |
|
765 S Utah Ave, Idaho Falls, ID 83402-5093 | |
| (208) 525-2600 | |
| Not Available |
| Full Name | Roberta J Bostian |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 765 S Utah Ave, Idaho Falls, 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 |
|---|---|---|---|
| 1972275501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 68854 (Idaho) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 12751401-4405 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dixie Regional Medical Center | St george, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Corner Clinic St George Llc | 6406241835 | 7 |
| Entity Name | Utah Regional Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962821223 PECOS PAC ID: 4789807165 Enrollment ID: O20140604000236 |
| Entity Name | Corner Clinic St George Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629568209 PECOS PAC ID: 6406241835 Enrollment ID: O20220321002050 |
| Entity Name | Santibanez Pac Utah |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881469484 PECOS PAC ID: 1355785437 Enrollment ID: O20240216000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Roberta J Bostian, AGACNP 2325 Coronado St, Idaho Falls, ID 83404-7407 Ph: (208) 557-2700 | Roberta J Bostian, AGACNP 765 S Utah Ave, Idaho Falls, ID 83402-5093 Ph: (208) 525-2600 |
Mr. Morgan Tius Garriott, MSN, APRN, CNP, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7021 Fax: 208-542-7371 | |
Katelyn Rose Willis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3230 Nina Dr, Idaho Falls, ID 83404 Phone: 208-243-6077 | |
Mrs. Molly Susan Phillipp, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2065 E 17th St, Suite D, Idaho Falls, ID 83404 Phone: 208-522-0747 Fax: 208-522-9641 | |
Sandy Palma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2155 Rendezvous Rd, Idaho Falls, ID 83402 Phone: 773-386-1861 | |
James D Brown, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3360 Washington Pkwy Ste 2, Idaho Falls, ID 83404 Phone: 208-932-7024 Fax: 208-904-4447 | |
Amber Keck, APRN - CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404 Phone: 208-419-3271 Fax: 833-449-4588 | |
Salina Thetford, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404 Phone: 208-419-3271 |