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

Western Skies Wellness and Primary Care, PC

Organization Gerontology Nurse Practitioner · NPI 1568255636

Western Skies Wellness and Primary Care, PC is a Gerontology Nurse Practitioner in Council, Idaho. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Illinois Ave
Council, ID 83612
Phone: (208) 849-3725
Fax: (844) 689-3409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X

Record details

NPI number1568255636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodi Haney — Credentialing/Contracting · (541) 410-5394
NPI enumeratedMay 22, 2025
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing addressPo Box 158, Council, ID 83612-0158

Other providers in Council