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

Mrs. Codie M Robertson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1134477870

Mrs. Codie M Robertson, FNP-C is a Nurse Practitioner in Pocatello, Idaho. Qualified in 2012, 14 years ago. Practices with Health West Inc, a 66-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2012
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

110 Vista Dr
Pocatello, ID 83201-4520
Phone: (208) 234-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 465 Memorial Dr, Pocatello, ID 83201-4008 — (208) 234-4700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP-1210A (ID)

Record details

NPI number1134477870
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 28, 2012
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024

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)
Group practice Health West Inc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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