MADISON MEMORIAL REXBURG MEDICAL CLINIC
Medicare Clinicians for NPI 1134592017
Family Medicine in Rexburg, ID

Active since November 02, 2015
393 E 2ND N, REXBURG, ID 83440(208) 356-5401(208) 356-3111 Get Directions

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 23, 2023, Feb 21, 2020 (2 updates tracked since 2020).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Madison Memorial Rexburg Medical Clinic in Rexburg, ID bills Medicare for 40 clinicians across 12 Medicare specialties. The largest specialties are Nurse Practitioner with 10, Family Practice with 8 and Orthopedic Surgery with 4. Of these, 3 practice at this address and 33 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

40Clinicians
12Medicare specialties
39PECOS enrolled
33Accept Medicare
40 clinicians in 12 specialties

Nurse Practitioner (10)

Nurse Practitioner
NPI 1003312489
393 E 2ND N
Rexburg, ID 83440
(208) 356-5401
✔ PECOSSame address
Nurse Practitioner
NPI 1760191340
72 S 1ST E STE 101
Rexburg, ID 83440
(208) 356-4900
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1851916365
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1558662064
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1801532106
37 S 2ND E STE 101
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1841020518
393 E 2ND N
Rexburg, ID 83440
(208) 359-6900
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1790065738
393 E 2ND N
Rexburg, ID 83440
(208) 359-6498
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1740012145
393 E 2ND N
Rexburg, ID 83440
(208) 356-5401
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1659077238
450 E MAIN ST
Rexburg, ID 83440
(208) 359-9811
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1629870936
432 JUNIPER LN
Saint Anthony, ID 83445
(208) 221-4707
✔ PECOS✔ Accepts Medicare12 mi

Family Practice (8)

Family Practice
NPI 1336140664
393 E 2ND N
Rexburg, ID 83440
(208) 356-5401
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1629182282
393 E 2ND N
Rexburg, ID 83440
(208) 356-5401
✔ PECOSSame address
Family Practice
NPI 1659454734
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1750329629
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.9 mi
Family Practice
NPI 1790211092
450 E MAIN ST
Rexburg, ID 83440
(208) 359-6900
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1013008697
393 E 2ND N
Rexburg, ID 83440
(208) 356-3691
✔ PECOS✔ Accepts Medicare1.3 mi
Family Practice
NPI 1689237752
1025 S YELLOWSTONE HWY STE 103
Rexburg, ID 83440
(208) 317-7548
✔ PECOS✔ Accepts Medicare1.3 mi
Family Practice
NPI 1972709103
98 N CAMBRIDGE DR
Rigby, ID 83442
(208) 520-2809
✔ PECOS✔ Accepts Medicare13 mi

Orthopedic Surgery (4)

Orthopedic Surgery
NPI 1356629885
393 E 2ND N
Rexburg, ID 83440
(208) 359-6781
✔ PECOS✔ Accepts Medicare1.1 mi
Orthopedic Surgery
NPI 1518960087
360 EAST MAIN
Rexburg, ID 83440
(208) 356-9550
✔ PECOS✔ Accepts Medicare1.1 mi
Orthopedic Surgery
NPI 1508086844
360 E MAIN ST
Rexburg, ID 83440
(208) 356-9550
✔ PECOS✔ Accepts Medicare1.1 mi
Orthopedic Surgery
NPI 1497048011
2300 E 30TH ST STE 101
Farmington, NM 87401
(505) 327-1400
✔ PECOS✔ Accepts Medicare523 mi

Certified Nurse Midwife (CNM) (3)

Certified Nurse Midwife (CNM)
NPI 1396468641
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Certified Nurse Midwife (CNM)
NPI 1881059103
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.9 mi
Certified Nurse Midwife (CNM)
NPI 1861090219
905 HIGHLAND BLVD STE 4500
Bozeman, MT 59715
(406) 414-5150
✔ PECOS✔ Accepts Medicare133 mi

Clinical Social Worker (3)

Clinical Social Worker
NPI 1548976202
450 E MAIN ST
Rexburg, ID 83440
(208) 359-7689
✔ PECOS1.2 mi
Clinical Social Worker
NPI 1811762727
685 1ST ST
Idaho Falls, ID 83401
(208) 932-4493
✔ PECOS25 mi
Clinical Social Worker
NPI 1104436062
151 N 3RD AVE STE 330
Pocatello, ID 83201
(208) 242-3771
✔ PECOS✔ Accepts Medicare74 mi

Internal Medicine (3)

Internal Medicine
NPI 1154524734
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1902992837
450 E MAIN ST
Rexburg, ID 83440
(208) 359-6419
✔ PECOS✔ Accepts Medicare1.2 mi
Internal Medicine
NPI 1821351800
450 E MAIN ST
Rexburg, ID 83440
(208) 359-6900
✔ PECOS✔ Accepts Medicare1.2 mi

Obstetrics/Gynecology (3)

Obstetrics/Gynecology
NPI 1932311925
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Obstetrics/Gynecology
NPI 1780328468
37 S 2ND E STE 201
Rexburg, ID 83440
(208) 356-0234
✔ PECOS0.9 mi
Obstetrics/Gynecology
NPI 1912150772
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.9 mi

Podiatry (2)

Podiatry
NPI 1306847819
25 MADISON PROFESSIONAL PARK
Rexburg, ID 83440
(208) 359-1400
✔ PECOS✔ Accepts Medicare1.0 mi
Podiatry
NPI 1861840274
630 N ALVERNON WAY STE 351
Tucson, AZ 85711
(520) 881-2600
✔ PECOS✔ Accepts Medicare801 mi

General Practice (1)

General Practice
NPI 1205129897
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.9 mi

Pediatric Medicine (1)

Pediatric Medicine
NPI 1518196021
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS0.8 mi

Psychiatry (1)

Psychiatry
NPI 1427584762
450 E MAIN ST
Rexburg, ID 83440
(208) 359-6900
✔ PECOS✔ Accepts Medicare1.2 mi

Registered Dietitian or Nutrition Professional (1)

Registered Dietitian or Nutrition Professional
NPI 1124676663
393 E 2ND N
Rexburg, ID 83440
(208) 356-5401
1.1 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Madison Memorial Rexburg Medical Clinic appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.