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GARETT GAYLE RUMSEY
NPI 1154280675
Nurse Practitioner - Psychiatric/Mental Health in Rexburg, ID

Active since January 20, 2026PECOS Enrolled
72 S 1ST E STE 103, REXBURG, ID 83440(208) 356-4900(208) 372-1023 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 15, 2026, Apr 3, 2026, Jan 20, 2026 (3 updates tracked since 2026).

About Garett Gayle Rumsey NPPES

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

GARETT GAYLE RUMSEY (NPI 1154280675) is an individual psychiatric/mental health provider in Rexburg, Idaho, licensed in Idaho (1671798) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1154280675
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameGARETT GAYLE RUMSEY
Location Address72 S 1ST E STE 103Rexburg, ID 83440-1902
Mailing AddressPo Box 18Saint Anthony, ID 83445-0018 · (208) 356-4900 · Fax (208) 624-4112
Phone(208) 356-4900
Fax(208) 372-1023
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 20, 2026
Last NPPES UpdateApril 15, 20263 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1154280675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 1671798
72 S 1ST E STE 103, Rexburg, ID 83440
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12454 N 25th EIdaho Falls, ID 83401-1049 · Phone (208) 356-4900 · Fax (208) 612-6118
Location 2335 E Main St Ste 3Saint Anthony, ID 83445-1546 · Phone (208) 356-4900 · Fax (208) 624-4030

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garett Gayle Rumsey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698242907
PECOS Enrollment IDI20260423002495
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.

Medicare Billing Reassignment

Medicare enrollment records show Garett Rumsey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upper Valley Community Health Services Inc
0.2 mi
Federally Qualified Health Center (FQHC)
72 S 1ST E STE 101
Rexburg, ID 83440
  • Reassigned Medicare billing, Idaho enrollment
  • 28 clinicians in this Medicare group
NPI 1124403258 (208) 356-4900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83440 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
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

RHET DALLING LCSW
Social Worker (Clinical)
72 S 1ST E STE 103
REXBURG, ID 83440
Madison County (208) 356-4900
KAVIN BRANHAM LCPC
Counselor (Professional)
72 S 1ST E STE 103
REXBURG, ID 83440
Madison County (208) 356-4900
UPPER VALLEY COMMUNITY HEALTH SERVICES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
72 S 1ST E STE 103
REXBURG, ID 83440
Madison County (208) 356-4900
ALICE DAWN MANWARING LCSW
Social Worker (Clinical)
72 S 1ST E STE 103
REXBURG, ID 83440
Madison County (208) 356-4900

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 Garett Rumsey's NPI number?

The NPI number for Garett Rumsey is 1154280675. It was assigned to this individual provider in the NPPES registry on January 20, 2026.

Where is Garett Rumsey located?

Garett Rumsey practices at 72 S 1st E Ste 103, Rexburg, ID 83440. The listed phone number is (208) 356-4900.

What is Garett Rumsey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Garett Rumsey enrolled in Medicare?

Yes. Garett Rumsey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Garett Rumsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Garett Rumsey reassigns Medicare benefits to Upper Valley Community Health Services Inc (Rexburg, ID). The 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 Garett Rumsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Garett Rumsey accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Select Health and University of Utah Health Plans list Garett Rumsey 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 Garett Rumsey was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.