NPI age
8 years
Enumerated 2018-01-03
● Active
Type 1 · Individual
Mark Willis, FNP
Willis is 1 of 79 nurse practitioner providers in Pocatello and 1 of 1280 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-05-18
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
8 years
≈ at median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-01Enumerated in NPPES
2018
2026
Where they practice
Practice location
1350 Cedar Lake Rd
Pocatello, ID 832044946
Mailing address
1350 Cedar Lake Rd
Pocatello, ID 832044946
Additional practice locations
1 secondary location on file with NPPES.
Location 2
777 Hospital Way
Pocatello, ID 832015175
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new nurse practitioner providers have been added in Pocatello in the last 180 days.
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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.