NPI age
7 years
Enumerated 2018-11-02
● Active
Type 1 · Individual
Benjamin Garfield Rae IV
Rae is 1 of 23 nurse practitioner providers in Idaho Falls and 1 of 374 in Idaho.
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
WA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 374 active nurse practitioner providers in Idaho.
NPI age
7 years
↑ 3 yr above median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
2
In the 34% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-11Enumerated in NPPES
2018
2026
Where they practice
Practice location
530 S Holmes Ave
Idaho Falls, ID 834015056
Mailing address
Po Box 955
Wilson, WY 830140955
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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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.