MRS. CODIE M ROBERTSON FNP-C
NPI 1134477870
Nurse Practitioner - Family in Pocatello, ID
About Mrs. Codie M Robertson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CODIE M ROBERTSON FNP-C (NPI 1134477870) is an individual family provider in Pocatello, Idaho, licensed in Idaho (NP-1210A) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and maintains a secondary practice location in Pocatello.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Codie M Robertson Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Codie Robertson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pocatello, ID 83201
- Reassigned Medicare billing, Idaho enrollment
- 5 clinicians in this Medicare group
Pocatello, ID 83201
- Reassigned Medicare billing, Idaho enrollment
- 190 clinicians in this Medicare group
Pocatello, ID 83201
- Reassigned Medicare billing, Idaho enrollment
- 63 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Portneuf Medical Center
Acute Care Hospitals · Pocatello, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Codie Robertson's NPI number?
The NPI number for Codie Robertson is 1134477870. It was assigned to this individual provider in the NPPES registry on August 28, 2012.
Where is Codie Robertson located?
Codie Robertson practices at 110 Vista Dr, Pocatello, ID 83201. The listed phone number is (208) 234-2300.
What is Codie Robertson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Codie Robertson enrolled in Medicare?
Yes. Codie Robertson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Codie Robertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Codie Robertson reassigns Medicare benefits to 3 organizations: Primary Care Specialists, PA (Pocatello, ID), Pocatello Health Services, LLC (Pocatello, ID) and Health West, Inc. (Pocatello, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Codie Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Codie Robertson accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer list Codie Robertson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Codie Robertson affiliated with any hospitals?
According to CMS data, Codie Robertson is affiliated with Portneuf Medical Center.
When was this NPI record last updated?
The NPPES record for Codie Robertson was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Codie M Robertson, FNP-C · NPI 1134477870
Family physician in Pocatello, Idaho. Individual provider, active in the CMS NPPES registry since August 28, 2012.
## Identity
- **NPI:** 1134477870 (Entity type: Individual)
- **Enumerated:** August 28, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP-1210A (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 VISTA DR, Pocatello, ID 83201-4520
- **Phone:** (208) 234-2300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Primary Care Specialists, PA (NPI 1508875881, Pocatello, ID); Pocatello Health Services, LLC (NPI 1215165485, Pocatello, ID); Health West, Inc. (NPI 1134895071, Pocatello, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1134477870) · Data from the CMS NPPES public registry.