Leathie Yeaman, APRN CNP
Individual provider Active NPI Family Nurse Practitioner · Pocatello, ID
NPI 1609640333 · NPPES record last updated May 11, 2026
Key facts
- NPI
- 1609640333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 61350 (ID)
- Practice address
- 495 Yellowstone Ave
Pocatello, ID 83201-4531 - Phone
- (208) 425-1620
- Fax
- (208) 232-5445
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MVH Pic LLC
Practice addresses (Care Compare)
134 W Chubbuck Rd
Suite B
Chubbuck, ID 83202-2383
Phone (208) 237-7911
495 Yellowstone Ave
Pocatello, ID 83201-4531
Phone (208) 478-7422
Hospital & facility affiliations
- Mountain View Hospital
- Portneuf Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240228004836 | ID | Practitioner - Nurse Practitioner | 9032554175 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Hospital LLC | Current |
Accepting new patients | |
| Community Care Pocatello PLLC | Current | Accepting new patients | |
| CC Pocatello LLC | Family Medicine | Current |
Accepting new patients |
| Community Care West Side LLC | Family Medicine | Current |
Accepting new patients |
Locations
134 W Chubbuck Rd
Ste B
Chubbuck, ID 83202
Phone (208) 237-7911
765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
495 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 478-7422
1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 61350 | ID | Yes |
Addresses
Primary practice location
495 Yellowstone Ave
Pocatello, ID 83201-4531
Mailing address
495 Yellowstone Ave
Pocatello, ID 83201-4531
Phone (208) 425-1620
Other providers in Pocatello, ID
- Aspin B Wyma
- Drew Wyman
- Kolleen Marie Wynn-Gallipeau
- Hao Yan
- Daniel Paul Yates
- Maria Yeash
- Shirley Yellowhair
- Yellowstone Dental Associates, PLLC
- Natalie Yoho
- Patrick Hyun Yoo
All providers in Pocatello, 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 May 11, 2026. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.