BLAIR FAMILY MEDICINE
NPI 1134620107
Nurse Practitioner in Idaho Falls, ID
About Blair Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAIR FAMILY MEDICINE (NPI 1134620107) is a healthcare organization registered as a nurse practitioner in Idaho Falls, Idaho and active in the NPI registry since February 2018. The organization lists Shelly Cameron, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Blair Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Blair Family Medicine, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
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 Family Medicine Hub PLLC's NPI number?
The NPI number for Family Medicine Hub PLLC is 1134620107. It was assigned to this organization in the NPPES registry on February 26, 2018. The provider is also known as Blair Family Medicine.
Where is Family Medicine Hub PLLC located?
Family Medicine Hub PLLC is located at 2001 S Woodruff Ave Ste 15B, Idaho Falls, ID 83404. The listed phone number is (208) 357-4633.
What is Family Medicine Hub PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Family Medicine Hub PLLC enrolled in Medicare?
Yes. Family Medicine Hub PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Medicine Hub PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Medicine Hub 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 Nurse Practitioner (9) and Clinical Social Worker (1). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Family Medicine Hub PLLC accept?
Health plans from Molina Healthcare list Family Medicine Hub 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 Family Medicine Hub PLLC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Blair Family Medicine · NPI 1134620107
Nurse Practitioner organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since February 26, 2018.
## Identity
- **NPI:** 1134620107 (Entity type: Organization)
- **Enumerated:** February 26, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Legal business name:** Family Medicine Hub Pllc
- **Organization subpart:** No
- **Authorized official:** Shelly Cameron, PRACTICE MANAGER
## Practice location
- **Address:** 2001 S WOODRUFF AVE STE 15B, Idaho Falls, ID 83404-6372
- **Phone:** (208) 357-4633 · **Fax:** (208) 419-0690
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Clinical Social Worker (1); 6 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 12, 2024
- **Other identifiers:** Medicaid 1629128483 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1134620107) · Data from the CMS NPPES public registry.