Active NPI
Ann Wilcox, FNP
- Family Nurse Practitioner
- Pocatello, ID
National Provider Identifier
1427948827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6771160
- Practice address
- 500 S 11TH Ave Ste 501
Pocatello, ID 83201-4881 - Phone
- (208) 244-0997
- Fax
- (208) 561-6902
- NPI assigned
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6771160 | ID | Primary |
Addresses
Primary practice location
500 S 11TH Ave Ste 501
Pocatello, ID 83201-4881
Mailing address
13574 N Moonglow LN
Pocatello, ID 83202-5123
Phone (208) 244-9999
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2928 Michelle St
Pocatello, ID 83201-8031
Phone (208) 244-0997
Hospital & facility affiliations
- Enhabit Home Health of Eastern Idaho
- Aspen Home Health Services
- Brio Idaho Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6771160 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Health, PLLC | Current | Accepting new patients |
Locations
500 S 11th Ave
Ste 501
Pocatello, ID 83201
Phone (208) 232-7434
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Pocatello, ID
- NPI 1306401575
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1285189548
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1700167400
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1083760185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1427948827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13574 N MOONGLOW LN",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832025123",
"telephone_number": "208-244-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S 11TH AVE STE 501",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014881",
"telephone_number": "208-244-0997",
"fax_number": "208-561-6902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "ANN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-07",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "6771160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.