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

Margo Northrup

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1215757919

Margo Northrup is a Nurse Practitioner in Chubbuck, Idaho. Qualified in 2025, 1 year ago. Practices with Canvi Behavioral Health PLLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2024

Practice location Address checks out

4650 Hawthorne Rd Ste 3B
Chubbuck, ID 83202-2376
Phone: (208) 252-5621
Fax: (208) 648-4167
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 4371958 (ID)

Record details

NPI number1215757919
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 16, 2024
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing addressPo Box 2516, Pocatello, ID 83206-2516

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Canvi Behavioral Health Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Chubbuck