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

Trevor R Bartlett, NP

Individual provider Family Nurse Practitioner · NPI 1639442973

Trevor R Bartlett, NP is a Nurse Practitioner in Idaho Falls, Idaho. Qualified in 2011, 15 years ago. Practices with Community Care West Side LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2730 Channing Way
Idaho Falls, ID 83404-5049
Phone: (208) 542-7100
Fax: (208) 542-7150
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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-1146A (ID)

Record details

NPI number1639442973
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 16, 2012
Last updated in NPPESSeptember 11, 2012
Mailing address2730 Channing Way, Idaho Falls, ID 83404-5049

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Community Care West Side Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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