P Praxis·MD
● Active Type 2 · Organization

Pocatello Wellness Clinic, Llc

Nurse Practitioner·Pocatello, ID· NPI 1437615952 · Enumerated 2019 · 7 years on NPI
Pocatello Wellness Clinic, Llc is 1 of 1280 nurse practitioner organizations in Idaho.
NPI age
7 years
Enumerated 2019-02-20
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Reno
Owner
Last NPPES update
2024-04-23
Source: monthly bulk 2026-05

How this organization compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
7 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-02Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
1155 Yellowstone Ave, Ste D
Pocatello, ID 832014369
📞 2086379610fax 2082386162
Mailing address
1155 Yellowstone Ave, Ste D
Pocatello, ID 832014369
📞 2086379610fax 2082386162

Authorized official

Dustin Reno, NP
Owner
📞 2086379610

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LF0000X

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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