Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hyrum Bert Prestwich, FNP-C

Individual provider Family Nurse Practitioner · NPI 1891314522

Hyrum Bert Prestwich, FNP-C is a Nurse Practitioner in Idaho Falls, Idaho. Qualified in 2024, 2 years ago. Practices with Teton Valley Health Care Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3245 Channing Way
Idaho Falls, ID 83404-7536
Phone: (208) 227-2790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 8061678 (ID)

Record details

NPI number1891314522
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 13, 2020
Last updated in NPPESJuly 31, 2024
Certification dateJuly 10, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Teton Valley Health Care Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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