TRANSFORMATIVE JOURNEY HEALTHCARE
NPI 1154167682
Nurse Practitioner - Family in Idaho Falls, ID
About Transformative Journey Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRANSFORMATIVE JOURNEY HEALTHCARE (NPI 1154167682) is a healthcare organization registered as a family in Idaho Falls, Idaho and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Michelle Smith, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Transformative Journey Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Transformative Journey Healthcare, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 13D2344705
Transformative Journey Healthcare- Salmon · Salmon, IDCertificate of Waiver 13D2312261
Transformative Journey Healthcare · Idaho Falls, IDFrequently 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 Transformative Journey Healthcare's NPI number?
The NPI number for Transformative Journey Healthcare is 1154167682. It was assigned to this organization in the NPPES registry on July 3, 2024.
Where is Transformative Journey Healthcare located?
Transformative Journey Healthcare is located at 749 Oxford Dr, Idaho Falls, ID 83401. The listed phone number is (208) 701-2777.
What is Transformative Journey Healthcare's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Transformative Journey Healthcare enrolled in Medicare?
Yes. Transformative Journey Healthcare is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Transformative Journey Healthcare?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Transformative Journey Healthcare. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Transformative Journey Healthcare hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2344705) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Transformative Journey Healthcare accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Transformative Journey Healthcare 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 Transformative Journey Healthcare was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Transformative Journey Healthcare · NPI 1154167682
Family organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since July 3, 2024.
## Identity
- **NPI:** 1154167682 (Entity type: Organization)
- **Enumerated:** July 3, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Michelle Smith, OWNER
## Practice location
- **Address:** 749 OXFORD DR, Idaho Falls, ID 83401-4203
- **Phone:** (208) 701-2777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154167682) · Data from the CMS NPPES public registry.