JUSTIN KYLER CROFT FNP-C
NPI 1821896937
Nurse Practitioner in Idaho Falls, ID

Active since March 04, 2025PECOS EnrolledAccepts Medicare Assignment
2900 CORTEZ AVE, IDAHO FALLS, ID 83404(208) 523-3857 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2025, Mar 4, 2025 (2 updates tracked since 2025).

About Justin Kyler Croft Fnp-c NPPES

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

JUSTIN KYLER CROFT FNP-C (NPI 1821896937) is an individual nurse practitioner in Idaho Falls, Idaho, licensed in Idaho (8571940) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1821896937
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJUSTIN KYLER CROFTCredential: FNP-C
Location Address2900 CORTEZ AVEIdaho Falls, ID 83404-7554
Mailing Address1005 Terry DrIdaho Falls, ID 83404-5122 · (208) 541-8879
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 4, 2025
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1821896937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · 8571940
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2900 CORTEZ AVE, Idaho Falls, ID 83404

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

Justin Kyler Croft 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 ID8123544731
PECOS Enrollment IDI20250428001164
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

2

Medicare enrollment records show Justin Croft reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2325 CORONADO ST
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 298 clinicians in this Medicare group
Family
1005 TERRY DR
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment

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 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number130025
Location450 East Main StreetRexburg, ID 83440 · Madison County
Emergency services

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

Idaho Falls Community Hospital, LLC

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130074
Location2327 Coronado StIdaho Falls, ID 83404 · Bonneville County
Emergency services

Teton Valley Hospital

Critical Access Hospitals · Driggs, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131313
Location120 East Howard AveDriggs, ID 83422 · Teton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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.

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 Justin Croft's NPI number?

The NPI number for Justin Croft is 1821896937. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is Justin Croft located?

Justin Croft practices at 2900 Cortez Ave, Idaho Falls, ID 83404. The listed phone number is (208) 523-3857.

What is Justin Croft's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Justin Croft enrolled in Medicare?

Yes. Justin Croft 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 Justin Croft's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Croft reassigns Medicare benefits to 2 organizations: Mountain View Hospital LLC (Idaho Falls, ID) and East Idaho Wound Care 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 Justin Croft's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Croft accept?

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

According to CMS data, Justin Croft is affiliated with Eastern Idaho Regional Medical Center, Madison Memorial Hospital, Mountain View Hospital, Idaho Falls Community Hospital, LLC and Teton Valley Hospital.

When was this NPI record last updated?

The NPPES record for Justin Croft was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.