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LEATHIE YEAMAN APRN CNP
NPI 1609640333
Nurse Practitioner - Family in Pocatello, ID

Active since November 13, 2023PECOS EnrolledAccepts Medicare Assignment
495 YELLOWSTONE AVE, POCATELLO, ID 83201(208) 425-1620(208) 232-5445 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2026, Nov 13, 2023 (2 updates tracked since 2023).

About Leathie Yeaman Aprn Cnp NPPES

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

LEATHIE YEAMAN APRN CNP (NPI 1609640333) is an individual family provider in Pocatello, Idaho, licensed in Idaho (61350) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609640333
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEATHIE YEAMANCredential: APRN CNP
Location Address495 YELLOWSTONE AVEPocatello, ID 83201-4531
Mailing Address495 Yellowstone AvePocatello, ID 83201-4531 · (208) 425-1620 · Fax (208) 232-5445
Phone(208) 425-1620
Fax(208) 232-5445
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 13, 2023
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1609640333 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 · 61350
495 YELLOWSTONE AVE, Pocatello, ID 83201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.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

Leathie Yeaman Aprn Cnp 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 ID9032554175
PECOS Enrollment IDI20240228004836
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Leathie Yeaman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mvh Pic LLC
Same address
Family Medicine
495 YELLOWSTONE AVE
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 14 clinicians in this Medicare group
NPI 1972035772 (208) 478-7422
Cc Pocatello LLC
1.4 mi
Family Medicine
1595 YELLOWSTONE AVE
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 31 clinicians in this Medicare group
NPI 1538517156 (208) 233-0032
Mountain View Hospital LLC
1.4 mi
Pain Medicine
1595 YELLOWSTONE AVE
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 298 clinicians in this Medicare group
NPI 1699141150 (208) 522-7246
Community Care West Side LLC
47 mi
Family Medicine
765 S UTAH AVE
Idaho Falls, ID 83402
  • Reassigned Medicare billing, Idaho enrollment
  • 38 clinicians in this Medicare group
NPI 1295009785 (208) 525-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville 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.

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.

BRELAN J LANE DPT
Physical Therapist
495 YELLOWSTONE AVE, SUITE A
POCATELLO, ID 83201
Bannock County (208) 232-9198
MR. RANDY PAUL VAWDREY NP
Nurse Practitioner (Primary Care)
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 478-7422
JOSHUA SHANE BLANCHARD PA-C
Physician Assistant
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 478-7422
ADVANCED HEALTHCARE SOLUTIONS, LLC
Non-Pharmacy Dispensing Site
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 478-7422
MRS. CHARLYNN S. PERKES PA-C
Physician Assistant
495 YELLOWSTONE AVE, PHYSICIANS IMMEDIATE CARE CENTER
POCATELLO, ID 83201
Bannock County (208) 478-7422
ADVANCED HEALTHCARE SOLUTIONS LLC
Clinic/Center (Urgent Care)
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 478-7422
MR. NICHOLAS A HALE PA
Physician Assistant
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 478-7422
DR. JAY WARREN WILLEY DO
Family Medicine
495 YELLOWSTONE AVE
POCATELLO, ID 83201
Bannock County (208) 478-7422

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 Leathie Yeaman's NPI number?

The NPI number for Leathie Yeaman is 1609640333. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Leathie Yeaman located?

Leathie Yeaman practices at 495 Yellowstone Ave, Pocatello, ID 83201. The listed phone number is (208) 425-1620.

What is Leathie Yeaman's specialty?

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

Is Leathie Yeaman enrolled in Medicare?

Yes. Leathie Yeaman 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 Leathie Yeaman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leathie Yeaman reassigns Medicare benefits to 4 organizations: Mvh Pic LLC (Pocatello, ID), Cc Pocatello LLC (Pocatello, ID), Mountain View Hospital LLC (Pocatello, ID) and Community Care West Side LLC (Idaho Falls, 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 Leathie Yeaman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leathie Yeaman accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer list Leathie Yeaman 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 Leathie Yeaman affiliated with any hospitals?

According to CMS data, Leathie Yeaman is affiliated with Portneuf Medical Center and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Leathie Yeaman was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.