NPI age
— years
Enumerated 2025-07-15
● Active Type 2 · Organization
East Idaho Wound Care Llc
East Idaho Wound Care Llc is 1 of 1280 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Croft
NP
Last NPPES update
2025-07-15
Source: monthly bulk 2026-05
How this organization compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
0 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-07Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
1005 Terry Dr
Idaho Falls, ID 834045122
Mailing address
1005 Terry Dr
Idaho Falls, ID 834045122
Authorized official
Justin Kyler Croft, FNP-C
NP
📞 2085418879
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.