Katelyn Rose Willis
Katelyn Rose Willis is a Nurse Practitioner in Idaho Falls, Idaho. Qualified in 2024, 2 years ago. Practices with Community Care West Side LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 2
- Licensed in
- ID
- In the registry since
- 2025
Practice location Address checks out
3230 Nina DrIdaho Falls, ID 83404-7428
Phone: (208) 243-6077
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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 4071550 (ID) |
|---|
Record details
| NPI number | 1003613316 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 26, 2025 |
| Last updated in NPPES | February 26, 2025 |
| Certification date | January 30, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Community Care West Side Llc — 17 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Idaho Falls
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Derek Richard Whitmill
1995 E 17th St, Idaho Falls, ID 83404-6493 · (208) 357-9193
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Jonathan Keith Williams, NP
3910 Washington Pkwy, Idaho Falls, ID 83404-7596 · (208) 523-1122
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Joshua Trevor Williams, FNP-C
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Mindy Marie Williams, FNP-C
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Mrs. Peggy Lynn Young, NP-C
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Mrs. Anna L. Zobell, NP-C
3345 Potomac Way, Idaho Falls, ID 83404 · (208) 552-6210