Individual provider Active NPI

Makaylie Sorensen Crowther, DNP, FNP-C

  • Family Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1104700046
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8871865 Issued in ID
Practice address
765 S Utah Ave
Idaho Falls, ID 83402-5093
Phone
(208) 525-2600
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 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 8871865 ID Primary

Addresses

Primary practice location

765 S Utah Ave
Idaho Falls, ID 83402-5093

Mailing address

765 S Utah Ave
Idaho Falls, ID 83402-5093
Phone (208) 525-2600

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
I20251029001867 ID Practitioner - Nurse Practitioner 0143719211 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care West Side LLCGroup PAC ID 3678738218, 17 clinicians
BMH IncGroup PAC ID 8426149758, 137 clinicians
Bingham Memorial HospitalGroup PAC ID 8426955014, 68 clinicians

Practice addresses (Care Compare)

765 S Utah Ave
Idaho Falls, ID 83402-5093
Phone (208) 585-2600

98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8871865IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BMH, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Mountain View Hospital LLC CurrentSince Oct 1, 2025 Accepting new patients
Utah Cancer Specialists PC CurrentSince Jan 24, 2026 Accepting new patients
Community Care West Side LLC Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
BMH, Inc. Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Community Care Family Medicine Current Accepting new patients
BMH Inc. Past Accepting new patients

Locations

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600

3245 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2700

Organizations & group practices 8

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1104700046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 S UTAH AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025093",
            "telephone_number": "208-525-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 S UTAH AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025093",
            "telephone_number": "208-525-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWTHER",
        "first_name": "MAKAYLIE",
        "middle_name": "SORENSEN",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "8871865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.