Individual provider Active NPI

Hayley Brooke Grover, FNP-C

  • Primary Care Nurse Practitioner
  • Rexburg, ID
National Provider Identifier
1396468641
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
61481 Issued in ID
Practice address
37 S 2ND E
Rexburg, ID 83440-1906
Phone
(208) 356-0234
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 61481 ID Primary

Addresses

Primary practice location

37 S 2ND E
Rexburg, ID 83440-1906

Mailing address

5354 S 1650 W
Rexburg, ID 83440-4412
Phone (208) 206-4098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250219003600 ID Practitioner - Certified Nurse Midwife (CNM) 4385164409 Reassigns benefits to 1 organization
I20251017001783 MT Practitioner - Certified Nurse Midwife (CNM) 4385164409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Co Memorial HospitalGroup PAC ID 8123016367, 34 clinicians

Practice addresses (Care Compare)

37 S 2ND
Rexburg, ID 83440-1906
Phone (208) 356-0234

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61481IDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC Family Medicine CurrentSince Oct 2, 2025 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Oct 2, 2025 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
Madison Co Memorial Hospital Family Medicine Current Accepting new patients
Madison Co Memorial Hospital Family Medicine CurrentSince Dec 14, 2024 Accepting new patients
Madison Co Memorial Hospital Family Medicine CurrentSince Dec 14, 2024 Accepting new patients

Locations

37 S 2nd E
Ste 200
Rexburg, ID 83440
Phone (208) 356-0234

393 E 2nd N
Rexburg, ID 83440
Phone (208) 356-5401

37 S 2nd E
Rexburg, ID 83440
Phone (208) 356-0234

450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691

477 Pleasant Country Ln
Rigby, ID 83442
Phone (208) 356-0234

2900 12th Ave N
Ste 245W
Billings, MT 59101
Phone (406) 237-3620

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

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.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1396468641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 S 1650 W",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834404412",
            "telephone_number": "208-206-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 S 2ND E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401906",
            "telephone_number": "208-356-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "HAYLEY",
        "middle_name": "BROOKE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "61481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.