NPI age
1 years
Enumerated 2025-02-26
● Active
Type 1 · Individual
Katelyn Rose Willis
Willis is 1 of 105 nurse practitioner providers in Idaho Falls and 1 of 1280 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-02-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
1 years
↓ 6 yr below median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-02Enumerated in NPPES
2025
2026
Where they practice
Practice location
3230 Nina Dr
Idaho Falls, ID 834047428
Mailing address
3230 Nina Dr
Idaho Falls, ID 834047428
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new nurse practitioner providers have been added in Idaho Falls in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.