MRS. CODIE M ROBERTSON FNP-C
NPI 1134477870
Nurse Practitioner - Family in Pocatello, ID

Q: 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.

Q: What is Codie Robertson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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.

Active since August 28, 2012PECOS EnrolledAccepts Medicare Assignment

110 VISTA DR, POCATELLO, ID 83201(208) 234-2300 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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

NPI1134477870

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CODIE M ROBERTSONCredential: FNP-C

Location Address110 VISTA DRPocatello, ID 83201-4520

Mailing Address5330 Stuart AveChubbuck, ID 83202-2262 · (208) 221-6187

Phone(208) 234-2300

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 28, 2012

Last NPPES UpdateJanuary 29, 2024

NPPES CertifiedJanuary 29, 2024

✔ NPI 1134477870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · NP-1210A

110 VISTA DR, Pocatello, ID 83201

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Secondary Practice Location 1

Location 1465 Memorial DrPocatello, ID 83201-4008 · Phone (208) 234-4700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7214178318

PECOS Enrollment IDI20130801000652

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, ID

4/5 CMS rating

OwnershipProprietary

CMS Certification Number130028

Location777 Hospital WayPocatello, ID 83201 · Bannock County

Emergency services Birthing friendly

Physician 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.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$16.51 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers16 claims16 services$88.36 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MVH PC SPECIALISTS LLC

Family Medicine