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UPPER VALLEY FAMILY MEDICINE PLLC
NPI 1073697884
Family Medicine in Rigby, ID

Active since October 25, 2006
711 RIGBY LAKE DR STE 115, RIGBY, ID 83442(208) 745-5021(208) 745-5026 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 21, 2017 (2 updates tracked since 2017).

About Upper Valley Family Medicine Pllc NPPES

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

UPPER VALLEY FAMILY MEDICINE PLLC (NPI 1073697884), doing business as Upper Valley Family Medicine, is a healthcare organization registered as a family medicine in Rigby, Idaho and active in the NPI registry since October 2006. The organization lists Darin T Berrett, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073697884
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUPPER VALLEY FAMILY MEDICINE PLLC
Location Address711 RIGBY LAKE DR STE 115Rigby, ID 83442-5230
Mailing Address711 Rigby Lake Dr Ste 115Rigby, ID 83442-5230 · (208) 745-5021 · Fax (208) 745-5026
Phone(208) 745-5021
Fax(208) 745-5026
Organization SubpartNo
Authorized OfficialDarin T BerrettOffice Manager · (208) 745-5021
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1073697884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
711 RIGBY LAKE DR STE 115, Rigby, ID 83442
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Other Names 1

Former Legal Business NameUpper Valley Family Medicine

Other Identifiers 2

Medicaid806913600ID
Medicaid8067451700ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)

Upper Valley Family Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Upper Valley Family Medicine PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

William Adams, DO
Family Practice
NPI 1467403733
711 RIGBY LAKE DR SUITE 115
Rigby, ID 83442
(208) 745-5021
✔ PECOS✔ Accepts MedicareSame address
Richard Harper, DO
Family Practice
NPI 1477599538
711 RIGBY LAKE DR SUITE 115
Rigby, ID 83442
(208) 745-5021
✔ PECOS✔ Accepts MedicareSame address
Spencer Stanger, NP
Nurse Practitioner
NPI 1780194696
711 RIGBY LAKE DR STE 115
Rigby, ID 83442
(208) 745-5021
✔ PECOS✔ Accepts MedicareSame address
Analee Fish, FNP
Nurse Practitioner
NPI 1407405111
BYUI STUDENT HEALTH CENTER
Rexburg, ID 83460
(208) 496-1411
✔ PECOS✔ Accepts Medicare11 mi
Justin Shippen, DO
Family Practice
NPI 1871941724
450 E MAIN ST
Rexburg, ID 83440
(208) 356-3691
✔ PECOS✔ Accepts Medicare12 mi
Tiffany Spaulding, D.O.
Family Practice
NPI 1679704753
1522 E A ST
Casper, WY 82601
(307) 233-6000
✔ PECOS288 mi

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 Upper Valley Family Medicine PLLC's NPI number?

The NPI number for Upper Valley Family Medicine PLLC is 1073697884. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider was formerly known as Upper Valley Family Medicine.

Where is Upper Valley Family Medicine PLLC located?

Upper Valley Family Medicine PLLC is located at 711 Rigby Lake Dr Ste 115, Rigby, ID 83442. The listed phone number is (208) 745-5021.

What is Upper Valley Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Upper Valley Family Medicine PLLC enrolled in Medicare?

Yes. Upper Valley Family Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upper Valley Family Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Upper Valley Family Medicine 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. The largest specialties are Family Practice (4) and Nurse Practitioner (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Upper Valley Family Medicine PLLC accept?

Health plans from Moda Health Plan, Inc. list Upper Valley Family Medicine 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 Upper Valley Family Medicine PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.