ALICE R. TRABERT (F.N.P.) – Family Nurse Practitioner, NPI 1245229558

ALICE R. TRABERT (F.N.P.) is a healthcare provider. based in Jerome, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials F.N.P.. They hold a License No. NP-484A (ID). The NPI Number for ALICE R. TRABERT (F.N.P.) is 1245229558

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
ALICE R. TRABERT (F.N.P.)
NPI
1245229558
Phone
(208) 814-9800
Address
132 5TH AVE W
Enumeration Date
19 October 2005
Last Update Date
8 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2088141500
Graduation Year
2000 (26 years ago)
PAC ID
6406984426
Group Practice PAC ID
1052217478
Professional Enrollment ID
I20100512001094
Address ID
ID833015814TW775XXWXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,798 NURSE PRACTITIONER in ID

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Provider Addresses for ALICE R. TRABERT (F.N.P.)

  • 132, 5th Avenue West, Village West Mobile Home Park, Jerome, Jerome County, Idaho, 83338, United States

    SUITE 1

    JEROME, ID 833381825

    Phone: (208) 814-9800

    Fax: (208) 814-9833

    Type: Location

  • PO BOX 587

    TWIN FALLS, ID 833030587

    Phone: (208) 814-7400

    Fax: (208) 814-7491

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Dexcom, Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$26
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100512001094INurse PractitionerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83338)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052217478View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)ID
Clinical PsychologistND
A N E S T H E S I O L O G YID
-UT
Diagnostic RadiologyOR
Physician AssistantID
Family PracticeID
O B S T E T R I C S/ G Y N E C O L O G YID
Nurse PractitionerID

Reviews

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Frequently asked questions

What is ALICE R. TRABERT (F.N.P.)'s NPI number?
ALICE R. TRABERT (F.N.P.)'s NPI is 1245229558 — the number used across U.S. healthcare to identify this provider.
Is ALICE R. TRABERT (F.N.P.) still an active registrant?
ALICE R. TRABERT (F.N.P.) carries an active NPI according to the public dataset.
What area of care is associated with ALICE R. TRABERT (F.N.P.)?
ALICE R. TRABERT (F.N.P.)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with ALICE R. TRABERT (F.N.P.)?
Directory geography for ALICE R. TRABERT (F.N.P.) centers on Jerome, Idaho.
When was this NPI issued?
Enumeration for ALICE R. TRABERT (F.N.P.) is noted as October 19, 2005 where the registry provides it.

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