Pocatello Wellness Clinic, LLC
NPI 1437615952 · Family Nurse Practitioner · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pocatello Wellness Clinic, LLC is a Family Nurse Practitioner organization in Pocatello, ID (NPI 1437615952).
Provider details
- NPI number
- 1437615952
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Dustin Reno, Owner(208) 637-9610
Specialties & taxonomies
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
7 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
- 2019-02-20
- Last updated
- 2024-04-23
- Certified
- 2020-03-17
Frequently asked questions
- What is Pocatello Wellness Clinic, LLC's NPI number?
- Pocatello Wellness Clinic, LLC's National Provider Identifier (NPI) is 1437615952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pocatello Wellness Clinic, LLC?
- Pocatello Wellness Clinic, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Pocatello Wellness Clinic, LLC located?
- Pocatello Wellness Clinic, LLC's practice location on file with NPPES is 1155 Yellowstone Ave, Pocatello, ID 83201-4369.
- What is Pocatello Wellness Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pocatello Wellness Clinic, LLC is (208) 637-9610.
- Does Pocatello Wellness Clinic, LLC accept Medicare?
- Pocatello Wellness 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 Pocatello Wellness Clinic, LLC?
- The authorized official listed on Pocatello Wellness Clinic, LLC's NPPES record is Dustin Reno, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pocatello Wellness Clinic, LLC's NPI active?
- Yes — Pocatello Wellness Clinic, LLC's NPI (1437615952) is active in the NPPES registry as of the last update on 2024-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.