East Idaho Wound Care LLC
NPI 1407748510ActiveOrganization· Nurse Practitioner, Family· Idaho Falls, ID
Nurse Practitioner, Family in Idaho Falls, Idaho, registered in NPPES in July 2025. The authorized official on file is Justin Kyler Croft, FNP-C, Np. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407748510 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2025 |
| Last updated in NPPES | Jul 15, 2025 |
| Certified by provider | Jul 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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