Active NPI
Justin Kyler Croft, FNP-C
- Nurse Practitioner
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 8571940
- Practice address
- 2900 Cortez Ave
Idaho Falls, ID 83404-7554 - Phone
- (208) 523-3857
- NPI assigned
- Mar 4, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 8571940 | ID | Primary |
Addresses
Primary practice location
2900 Cortez Ave
Idaho Falls, ID 83404-7554
Mailing address
1005 Terry Dr
Idaho Falls, ID 83404-5122
Phone (208) 541-8879
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250428001164 | ID | Practitioner - Nurse Practitioner | 8123544731 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain View Hospital LLC
Practice addresses (Care Compare)
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700
Hospital & facility affiliations
- Mountain View Hospital
- Eastern Idaho Regional Medical Center
- Idaho Falls Community Hospital, LLC
- Madison Memorial Hospital
- Teton Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8571940 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Hospital LLC | Pulmonary Disease | Current | Accepting new patients |
| East Idaho Wound Care LLC | Current | Accepting new patients | |
| Mountain View Hospital Physician Organization | Past | Accepting new patients |
Locations
2900 Cortez Ave
Idaho Falls, ID 83404
Phone (208) 523-3857
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
2305 Coronado St
Idaho Falls, ID 83404
Phone (208) 522-1764
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
ID, Pulmonary Disease
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1073834529
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
Hospital
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1114481447
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1821896937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 TERRY DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834045122",
"telephone_number": "208-541-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 CORTEZ AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047554",
"telephone_number": "208-523-3857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROFT",
"first_name": "JUSTIN",
"middle_name": "KYLER",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-04",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "8571940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.