Individual provider Active NPI

Amber Keck, APRN - CNP

  • Family Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1023820909
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7571644 Issued in ID
Practice address
2001 S Woodruff Ave Ste 4
Idaho Falls, ID 83404-6371
Phone
(208) 419-3271
Fax
(833) 449-4588
NPI assigned
Jan 27, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7571644 ID Primary

Addresses

Primary practice location

2001 S Woodruff Ave Ste 4
Idaho Falls, ID 83404-6371

Mailing address

2001 S Woodruff Ave Ste 4
Idaho Falls, ID 83404-6371
Phone (208) 419-3271

Other practice location 1

250 S Skyline Dr Ste 1
Idaho Falls, ID 83402-3294
Phone (208) 569-8574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423001693 ID Practitioner - Nurse Practitioner 9436674389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Family Medicine and Aesthetics LLCGroup PAC ID 4880060185, 2 clinicians

Practice addresses (Care Compare)

2001 S Woodruff Ave
Suite 4
Idaho Falls, ID 83404-6371
Phone (208) 419-3271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Family Medicine & Aesthetics LLC CurrentSince Mar 6, 2025 Accepting new patients
Mountain View Hospital LLC PastSince Mar 6, 2025 Accepting new patients

Locations

2001 S Woodruff Ave
Ste 4
Idaho Falls, ID 83404
Phone (208) 419-3271

Interoperability endpoints

  • Direct secure messaging: amber.keck.1@28595.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1023820909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S WOODRUFF AVE STE 4",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046371",
            "telephone_number": "208-419-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S WOODRUFF AVE STE 4",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046371",
            "telephone_number": "208-419-3271",
            "fax_number": "833-449-4588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 S Skyline Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834023294",
            "country_code": "US",
            "telephone_number": "208-569-8574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KECK",
        "first_name": "AMBER",
        "credential": "APRN - CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "7571644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.