Individual provider Active NPI

Journee Webster, FNP-C

  • Family Nurse Practitioner
  • Rexburg, ID
National Provider Identifier
1861203150
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9471748 Issued in ID
Practice address
570 Trejo St
Rexburg, ID 83440-2627
Phone
(208) 881-0902
Fax
(208) 881-9352
NPI assigned
Jan 15, 2025
Last updated
Jul 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 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 9471748 ID Primary

Addresses

Primary practice location

570 Trejo St
Rexburg, ID 83440-2627

Mailing address

570 Trejo St
Rexburg, ID 83440-2627
Phone (208) 881-0902

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
I20250812003529 ID Practitioner - Nurse Practitioner 3779081328 Reassigns benefits to 1 organization

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
Vista Healthcare PCGroup PAC ID 4587921788, 5 clinicians

Practice addresses (Care Compare)

570 Trejo St
Rexburg, ID 83440-2627
Phone 20888109025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Healthcare PC Family CurrentSince May 30, 2025 Accepting new patients
Eagle Rock Physical Therapy PLLC PastSince Jan 19, 2025 Accepting new patients

Locations

556 Trejo St
Ste B
Rexburg, ID 83440
Phone (208) 359-2263

570 Trejo St
Rexburg, ID 83440
Phone (208) 881-0902

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1861203150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 TREJO ST",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402627",
            "telephone_number": "208-881-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 TREJO ST",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402627",
            "telephone_number": "208-881-0902",
            "fax_number": "208-881-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "JOURNEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "9471748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.