Individual provider Active NPI

Wendy Swope, ACNPC

  • Acute Care Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1962522409
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP-794A Issued in ID
Practice address
2280 E 25TH St
Idaho Falls, ID 83404-7542
Phone
(208) 227-2100
Fax
(208) 227-2362
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP-794A ID Primary

Addresses

Primary practice location

2280 E 25TH St
Idaho Falls, ID 83404-7542

Mailing address

PO Box 742358
Atlanta, GA 30374-2358

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
I20070927000204 ID Practitioner - Nurse Practitioner 5092800672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3388 Swan Valley Hwy
Irwin, ID 83428-5003
Phone (208) 360-1997

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-794AIDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua D Smith and Associates Inc CurrentSince Nov 11, 2017 Accepting new patients
Marsh Valley Healthcare, Inc CurrentSince Nov 7, 2025 Accepting new patients
Joshua D Smith and Associates Inc CurrentSince Nov 11, 2017 Accepting new patients
East Falls Family Medicine, LLC Family Medicine PastSince Mar 1, 2013 Accepting new patients
Allied Healthcare, LLC Past Accepting new patients

Locations

540 3rd St
Idaho Falls, ID 83401
Phone (208) 524-5607

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10132/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1962522409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742358",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047542",
            "telephone_number": "208-227-2100",
            "fax_number": "208-227-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWOPE",
        "first_name": "WENDY",
        "credential": "ACNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ID",
            "license": "NP-794A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.