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

Benjamin Garfield Rae IV

Individual provider Gerontology Nurse Practitioner · NPI 1770051229

Benjamin Garfield Rae IV is a Nurse Practitioner in Idaho Falls, Idaho. Qualified in 2018, 8 years ago. Practices with Ideal Option PLLC, a 91-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
Specialties on file
3

Practice location Address checks out

530 S Holmes Ave
Idaho Falls, ID 83401-5056
Phone: (208) 924-4360
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP608793306 (WA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP60879306 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP60879306 (WA)

Record details

NPI number1770051229
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 2, 2018
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ideal Option Pllc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare