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

Mary Beth Roehling

Individual provider Family Nurse Practitioner · NPI 1437494457

Mary Beth Roehling is a Nurse Practitioner in Eagle, Idaho. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2012
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Practice location Address checks out

2040 E Hologate Ct
Eagle, ID 83616
Phone: (208) 866-6840
Fax: (949) 577-4700
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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 NP-1230A (ID)

Record details

NPI number1437494457
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 3, 2012
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020
Mailing addressPo Box 1804, Eagle, ID 83616

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eagle