Idaho Frontier Wellness

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IDAHO FRONTIER WELLNESS

Practice address

7 N 4TH St E Ste 102
Homedale, ID 83628-1005

Phone

(208) 934-1985

Fax

(208) 568-2761

NPI assigned

Aug 22, 2025

Last updated

Aug 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bonnie J Hoewing, NPNPI 1063879633

Title

Owner

Phone

(000) 000-0000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bonnie Hoewing, NP

  • Nurse Practitioner
  • Nampa, ID
  • NPI 1063879633
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1215815824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "GREENLEAF",
            "state": "ID",
            "postal_code": "836260212",
            "telephone_number": "208-934-1985",
            "fax_number": "208-568-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N 4TH ST E STE 102",
            "city": "HOMEDALE",
            "state": "ID",
            "postal_code": "836281005",
            "telephone_number": "208-934-1985",
            "fax_number": "208-568-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO FRONTIER WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "HOEWING",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "000-000-0000",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagan E Fernley, PTA
• Stacy Carol Fisher, CMT
• Homedale Healthcare, Inc. (Owyhee Health and Rehabilitation Center)
• Homedale Rural Fire Protection District
• Brett J Homstad, DPT
• Idaho Street Medical Clinic
• Idaho Street Medical Clinic
• Identistry PLLC
• William Guy Jeppe Jr., DMD
• Jenifer Kitchens, LPC

• Internal Medicine Physician in Homedale, ID
• Providers in Homedale, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.