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

Tyson Smithersen, FNP

Individual provider Family Nurse Practitioner · NPI 1679233134

Tyson Smithersen, FNP is a Nurse Practitioner in Idaho Falls, Idaho. Qualified in 2021, 5 years ago. Practices with Steele Lake Specialty PLLC, a 19-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
5
Licensed in
ID, UT
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3200 Channing Way Ste 206
Idaho Falls, ID 83404-7546
Phone: (208) 529-2230
Fax: (208) 561-8061
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 2801 N Thanksgiving Way Ste 220, Lehi, UT 84043-5492 — (801) 477-6161
  • 1763 W Lunford Ln, Riverton, UT 84065-7451 — (208) 680-8408

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2361278 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10808238-4405 (UT)

Record details

NPI number1679233134
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 26, 2021
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Steele Lake Specialty Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Idaho Falls