Individual provider Active NPI

Erin Joanne Benson, NP-C

  • Family Nurse Practitioner
  • Saint Anthony, ID
National Provider Identifier
1629870936
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4371658 Issued in ID
Practice address
432 Juniper LN
Saint Anthony, ID 83445-4901
Phone
(208) 221-4707
NPI assigned
Mar 26, 2025
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 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 4371658 ID Primary

Addresses

Primary practice location

432 Juniper LN
Saint Anthony, ID 83445-4901

Mailing address

432 Juniper LN
Saint Anthony, ID 83445-4901
Phone (208) 221-4707

Other practice location 1

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

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
I20250703004172 ID Practitioner - Nurse Practitioner 9931613783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4371658IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Co Memorial Hospital Family Medicine CurrentSince Jul 17, 2025 Accepting new patients
Madison Memorial Hospital CurrentSince Jun 1, 2025 Accepting new patients
Madison Co Memorial Hospital Family Medicine CurrentSince Jul 17, 2025 Accepting new patients
Madison Co Memorial Hospital Family Medicine Past Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients

Locations

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

37 S 2nd E
Ste 102
Rexburg, ID 83440

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

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d61ab3e4-55bb-4859-99e6-22c413b48f2a/

Organizations & group practices 5

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 2

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": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1629870936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 JUNIPER LN",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834454901",
            "telephone_number": "208-221-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 JUNIPER LN",
            "city": "SAINT ANTHONY",
            "state": "ID",
            "postal_code": "834454901",
            "telephone_number": "208-221-4707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 S 2nd E",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834401906",
            "country_code": "US",
            "telephone_number": "208-356-0234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "ERIN",
        "middle_name": "JOANNE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "4371658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Anthony, ID

Sources for this page

Verify at the official NPI Registry.