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CHRISTINE NICOLE WHITE
NPI 1154966760
Counselor - Professional in Idaho Falls, ID

Active since November 07, 2019PECOS EnrolledAccepts Medicare Assignment
855 N. CAPTITAL AVE STE 1, IDAHO FALLS, ID 83402(208) 552-0855 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2025, Nov 7, 2019 (2 updates tracked since 2019).

About Christine Nicole White NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINE NICOLE WHITE (NPI 1154966760) is an individual professional provider in Idaho Falls, Idaho, licensed in Idaho (7250) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154966760
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCHRISTINE NICOLE WHITE
Location Address855 N. CAPTITAL AVE STE 1Idaho Falls, ID 83402
Mailing Address855 N. Captital Ave Suite 2Idaho Falls, ID 83401 · (208) 552-0855
Phone(208) 552-0855
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 7, 2019
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1154966760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ID · 7250
855 N. CAPTITAL AVE STE 1, Idaho Falls, ID 83402
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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

Christine Nicole White 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 ID3577050202
PECOS Enrollment IDI20251015003405
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.

Frequently Asked Questions

What is Christine White's NPI number?

The NPI number assigned to this healthcare provider is 1154966760, enumerated as an "individual" on November 07, 2019.

Where is the provider located?

The provider is located at 855 N. CAPTITAL AVE STE 1 IDAHO FALLS, ID 83402 and the phone number is (208) 552-0855.

What is the provider's specialty?

Counselor with taxonomy code 101YP2500X and a focus in Professional.