FREMONT MEDICAL CENTER, PLLC
NPI 1043931637
Clinic/Center in Saint Anthony, ID
About Fremont Medical Center, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREMONT MEDICAL CENTER, PLLC (NPI 1043931637) is a healthcare organization registered as a clinic/center in Saint Anthony, Idaho and active in the NPI registry since September 2022. The organization lists Jamie Gudmunson, Owner/ Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fremont Medical Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fremont Medical Center, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fremont Medical Center, PLLC's NPI number?
The NPI number for Fremont Medical Center, PLLC is 1043931637. It was assigned to this organization in the NPPES registry on September 12, 2022.
Where is Fremont Medical Center, PLLC located?
Fremont Medical Center, PLLC is located at 30 W Main St, Saint Anthony, ID 83445. The listed phone number is (208) 624-2969.
What is Fremont Medical Center, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Fremont Medical Center, PLLC enrolled in Medicare?
Yes. Fremont Medical Center, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fremont Medical Center, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Fremont Medical Center, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fremont Medical Center, PLLC accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Fremont Medical Center, PLLC 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.
When was this NPI record last updated?
The NPPES record for Fremont Medical Center, PLLC was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Fremont Medical Center, Pllc · NPI 1043931637
Clinic/Center organization in Saint Anthony, Idaho. Organization record, active in the CMS NPPES registry since September 12, 2022.
## Identity
- **NPI:** 1043931637 (Entity type: Organization)
- **Enumerated:** September 12, 2022
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Jamie Gudmunson, OWNER/ NURSE PRACTITIONER
## Practice location
- **Address:** 30 W MAIN ST, Saint Anthony, ID 83445-2113
- **Phone:** (208) 624-2969
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1043931637) · Data from the CMS NPPES public registry.