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

Individual provider Family Nurse Practitioner · NPI 1255429288

Jonathan William Rozack, FNP-C is a Nurse Practitioner in Idaho Falls, Idaho. Qualified in 2001, 25 years ago. Practices with Eric Bennett PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
25
Licensed in
ID
In the registry since
2006
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

2775 Channing Way
Idaho Falls, ID 83404-7510
Phone: (208) 524-0133
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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 NP525A (ID)

Record details

NPI number1255429288
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedOctober 11, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Eric Bennett Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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