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

Robert Greenig, PMHNP-BC

Individual provider Registered Nurse · NPI 1215567714

Robert Greenig, PMHNP-BC is a Nurse Practitioner in Idaho Falls, Idaho. Qualified in 2022, 4 years ago. Practices with High Tide Psychiatry PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2020
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1500 Pancheri Dr Ste 4
Idaho Falls, ID 83402-3212
Phone: (208) 579-6087
Fax: (888) 519-8898
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 58629 (ID)
Registered Nurse Taxonomy 163W00000X · Licence 58629 (ID)

Record details

NPI number1215567714
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJanuary 23, 2020
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice High Tide Psychiatry Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Idaho Falls