Individual provider Active NPI

Michael Edward Leemhuis, MSN, APRN, CNP, FNP

  • Family Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1407375959
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
56890 Issued in ID
Practice address
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone
(208) 557-2754
Fax
(208) 557-2707
NPI assigned
Sep 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 56890 ID Primary

Addresses

Primary practice location

2325 Coronado St
Idaho Falls, ID 83404-7407

Mailing address

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2754

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
I20180523002684 ID Practitioner - Nurse Practitioner 5890050777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Hospital LLC CurrentSince Apr 9, 2018 Accepting new patients
Mountain View Hospital LLC CurrentSince Apr 9, 2018 Accepting new patients
Community Care PLLC Past Accepting new patients
Mountain View Hospital Physician Organization Past Accepting new patients

Locations

1443 Parkway Dr
Ste 4
Blackfoot, ID 83221
Phone (208) 523-7667

1443 Parkway Dr
Ste C
Blackfoot, ID 83221
Phone (208) 785-2453

2377 Coronado St
Idaho Falls, ID 83404
Phone (208) 535-1286

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

2680 Channing Way
Idaho Falls, ID 83404
Phone (208) 522-4026

404 N 2nd E
Rexburg, ID 83440
Phone (208) 359-1770

Organizations & group practices 4

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": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407375959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047407",
            "telephone_number": "208-557-2754",
            "fax_number": "208-557-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 CORONADO ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047407",
            "telephone_number": "208-557-2754",
            "fax_number": "208-557-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEMHUIS",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "MSN, APRN, CNP, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "56890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.