PORTNEUF VALLEY FAMILY CENTER
NPI 1174629976
Counselor - Professional in Pocatello, ID
About Portneuf Valley Family Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORTNEUF VALLEY FAMILY CENTER (NPI 1174629976) is a healthcare organization registered as a professional in Pocatello, Idaho and active in the NPI registry since September 2006. The organization lists Robert De Wall, Owner/administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
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)
Portneuf Valley Family Center 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 Portneuf Valley Family Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
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 Portneuf Valley Family Center's NPI number?
The NPI number for Portneuf Valley Family Center is 1174629976. It was assigned to this organization in the NPPES registry on September 16, 2006.
Where is Portneuf Valley Family Center located?
Portneuf Valley Family Center is located at 444 Hospital Way Ste 477, Pocatello, ID 83201. The listed phone number is (208) 233-7832.
What is Portneuf Valley Family Center's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Portneuf Valley Family Center enrolled in Medicare?
Yes. Portneuf Valley Family Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Portneuf Valley Family Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Portneuf Valley Family Center. 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 Mental Health Counselor (6), Nurse Practitioner (2) and Psychiatry (2). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Portneuf Valley Family Center accept?
Health plans from Molina Healthcare list Portneuf Valley Family Center 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 Portneuf Valley Family Center was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Portneuf Valley Family Center · NPI 1174629976
Professional organization in Pocatello, Idaho. Organization record, active in the CMS NPPES registry since September 16, 2006.
## Identity
- **NPI:** 1174629976 (Entity type: Organization)
- **Enumerated:** September 16, 2006
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Robert De Wall, OWNER/ADMINISTRATOR
## Practice location
- **Address:** 444 HOSPITAL WAY STE 477, Pocatello, ID 83201-2744
- **Phone:** (208) 233-7832 · **Fax:** (208) 233-7835
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (6), Nurse Practitioner (2), Psychiatry (2); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174629976) · Data from the CMS NPPES public registry.