Individual provider Active NPI

Ann Wilcox, FNP

  • Family Nurse Practitioner
  • Pocatello, ID
National Provider Identifier
1427948827
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6771160 Issued in ID
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
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912003591 ID Practitioner - Nurse Practitioner 4486157526 Reassigns benefits to 1 organization

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
Optimum Health PLLCGroup PAC ID 1153656590, 9 clinicians

Practice addresses (Care Compare)

2928 Michelle St
Pocatello, ID 83201-8031
Phone (208) 244-0997

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6771160IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Health, PLLC CurrentSince Aug 1, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.