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

Dr. Vernon Robert Kubiak, APRN, CNS, CNP

Individual provider Adult Health Clinical Nurse Specialist · NPI 1538576491

Dr. Vernon Robert Kubiak, APRN, CNS, CNP is a Nurse Practitioner in Pocatello, Idaho. Qualified in 2016, 10 years ago. Practices with Lost Rivers Medical Center, a 15-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
10
Licensed in
ID
In the registry since
2014
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1070 Hiline Rd Ste 210
Pocatello, ID 83201-2947
Phone: (208) 478-9081
Fax: (208) 478-4999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 54586 (ID)
Adult Health Clinical Nurse Specialist Taxonomy 364SA2200X · Licence CNS-74A (ID)

Record details

NPI number1538576491
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , CNS , CNP
Sole proprietorNo
NPI enumeratedJuly 11, 2014
Last updated in NPPESMarch 17, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lost Rivers Medical Center — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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