Rocky Mountain Womens Clinic LLC
NPI 1104436195 · Midwife · Idaho Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rocky Mountain Womens Clinic LLC is a Midwife organization in Idaho Falls, ID (NPI 1104436195).
Provider details
- NPI number
- 1104436195
- Entity type
- Organization
- Primary specialty
- MidwifeOther Service Providers
- Organization subpart
- No
- Authorized official
- Kylee Johnson, Owner(208) 497-0541
Specialties & taxonomies
Other Service Providers
- Women's Health Nurse Practitioner363LW0102X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-08-04
- Last updated
- 2020-11-02
- Certified
- 2020-11-02
Frequently asked questions
- What is Rocky Mountain Womens Clinic LLC's NPI number?
- Rocky Mountain Womens Clinic LLC's National Provider Identifier (NPI) is 1104436195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rocky Mountain Womens Clinic LLC?
- Rocky Mountain Womens Clinic LLC is classified in the NPPES registry as Midwife (Other Service Providers).
- Where is Rocky Mountain Womens Clinic LLC located?
- Rocky Mountain Womens Clinic LLC's practice location on file with NPPES is 2065 E 17th St Ste a, Idaho Falls, ID 83404-8042.
- What is Rocky Mountain Womens Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Rocky Mountain Womens Clinic LLC is (208) 497-0541.
- Does Rocky Mountain Womens Clinic LLC accept Medicare?
- Rocky Mountain Womens Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rocky Mountain Womens Clinic LLC?
- The authorized official listed on Rocky Mountain Womens Clinic LLC's NPPES record is Kylee Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rocky Mountain Womens Clinic LLC's NPI active?
- Yes — Rocky Mountain Womens Clinic LLC's NPI (1104436195) is active in the NPPES registry as of the last update on 2020-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.