Restoration Health LLC
Organization Active NPI Family Nurse Practitioner · Payette, ID
NPI 1376429928 · NPPES record last updated Oct 7, 2025
Key facts
- NPI
- 1376429928
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- RESTORATION HEALTH LLC
- Practice address
- 1000 S 16TH St Ste C
Payette, ID 83661-3403 - Phone
- (208) 740-2973
- Fax
- (208) 702-0018
- NPI assigned
- Aug 11, 2025
- Organization subpart
- No
Authorized official
- Name
- Jeanette Reiners, DNP FNP-C
- Title
- Owner
- Phone
- (350) 930-4174
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 1
-
Jeanette Hazel Marie Reiners, DNP, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250915003661 | ID | Part B Supplier - Clinic/Group Practice | 1153825047 |
Receives reassigned benefits from 1 practitioner Practice locations: Weiser, ID |
| O20250929001395 | OR | Part B Supplier - Clinic/Group Practice | 1153825047 |
Receives reassigned benefits from 1 practitioner Practice locations: Ontario, OR |
National Provider Directory
- Tax ID family
- Restoration Health LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
1000 S 16TH St Ste C
Payette, ID 83661-3403
Mailing address
101 Highway 95
Weiser, ID 83672-5709
Phone (360) 930-4174
Other providers in Payette, ID
- Joey Peutz
- Alisha Lorraine Phillips
- Sahirit Ramos Ramirez
- Charlyn Kay Reece
- Dustin W Reese
- Restoration Health LLC
- Rebecca L Richardson
- Sara C Rodgers
- Johary Rodriguez
- Katee Jo Rodriguez
All providers in Payette, ID · Family Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.