MADISON MEMORIAL REXBURG MEDICAL CLINIC
NPI 1134592017
Family Medicine in Rexburg, ID
About Madison Memorial Rexburg Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON MEMORIAL REXBURG MEDICAL CLINIC (NPI 1134592017) is a healthcare organization registered as a family medicine in Rexburg, Idaho and active in the NPI registry since November 2015. The organization lists Rachel Gonzales, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Madison Memorial Rexburg Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
40Medicare enrollment records show 40 clinicians reassign Medicare billing to Madison Memorial Rexburg Medical Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 40Source: 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 Madison Co Memorial Hospital's NPI number?
The NPI number for Madison Co Memorial Hospital is 1134592017. It was assigned to this organization in the NPPES registry on November 2, 2015. The provider is doing business as Madison Memorial Rexburg Medical Clinic.
Where is Madison Co Memorial Hospital located?
Madison Co Memorial Hospital is located at 393 E 2nd N, Rexburg, ID 83440. The listed phone number is (208) 356-5401.
What is Madison Co Memorial Hospital's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Madison Co Memorial Hospital enrolled in Medicare?
Yes. Madison Co Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Madison Co Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 12 Medicare specialties reassign their Medicare billing to Madison Co Memorial Hospital. 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 Nurse Practitioner (10), Family Practice (8) and Orthopedic Surgery (4). Of these, 3 practice at this address and 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Madison Co Memorial Hospital accept?
Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Madison Co Memorial Hospital 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 Madison Co Memorial Hospital was last updated on October 23, 2023. 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.
# Madison Memorial Rexburg Medical Clinic · NPI 1134592017
Family Medicine organization in Rexburg, Idaho. Organization record, active in the CMS NPPES registry since November 2, 2015.
## Identity
- **NPI:** 1134592017 (Entity type: Organization)
- **Enumerated:** November 2, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Madison Co Memorial Hospital
- **Organization subpart:** Yes (part of Madison Co Memorial Hospital)
- **Authorized official:** Rachel Gonzales, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 393 E 2ND N, Rexburg, ID 83440-1605
- **Phone:** (208) 356-5401 · **Fax:** (208) 356-3111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 40 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Family Practice (8), Orthopedic Surgery (4); 3 practice at this address and 33 within 10 miles; [full list](https://npiprofile.com/npi/1134592017/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1134592017) · Data from the CMS NPPES public registry.