HENRY RAINBOLT III PA-C
NPI 1134769367
Physician Assistant in Burley, ID

Q: What is Henry Rainbolt's NPI number?

The NPI number for Henry Rainbolt is 1134769367. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Q: What is Henry Rainbolt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Henry Rainbolt was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 15, 2020PECOS EnrolledAccepts Medicare Assignment

382 N OVERLAND AVE, BURLEY, ID 83318(208) 933-4442 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 24, 2025, Jul 24, 2023, Nov 8, 2021 and 1 more (4 updates tracked since 2020).

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About Henry Rainbolt Iii Pa-c NPPES

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

HENRY RAINBOLT III PA-C (NPI 1134769367) is an individual physician assistant in Burley, Idaho, licensed in Idaho (PA-2721) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1134769367

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameHENRY RAINBOLT IIICredential: PA-C

Location Address382 N OVERLAND AVEBurley, ID 83318-3433

Mailing Address382 N Overland AveBurley, ID 83318-3433 · (208) 933-4442

Phone(208) 933-4442

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 15, 2020

Last NPPES UpdateFebruary 24, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2025

✔ NPI 1134769367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ID · PA-2721

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

382 N OVERLAND AVE, Burley, ID 83318

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Henry Rainbolt Iii Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709214760

PECOS Enrollment IDI20240312003352

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130002

Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83318 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier11 claims11 services$40.47 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB WALKER PA-C

Physician Assistant (Medical)