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BEAR LAKE INTERNAL MEDICINE
NPI 1174741441
Internal Medicine in Montpelier, ID

Active since April 23, 2007CLIA 13D0890013 · Microscopy
166 S 5TH ST, MONTPELIER, ID 83254(208) 847-1110(208) 847-0228 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bear Lake Internal Medicine NPPES

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

BEAR LAKE INTERNAL MEDICINE (NPI 1174741441) is a healthcare organization registered as an internal medicine in Montpelier, Idaho and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through August 9, 2028 and lists Laurie Bingham, Contract Management, as its authorized official.

NPPES Registry Identity

NPI1174741441
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBEAR LAKE COUNTY MEMORIAL HOSPITAL
Location Address166 S 5TH STMontpelier, ID 83254-1557
Mailing Address166 S 5th StMontpelier, ID 83254-1557 · (208) 847-1110 · Fax (208) 847-0228
Phone(208) 847-1110
Fax(208) 847-0228
Organization SubpartNo
Authorized OfficialLaurie BinghamContract Management · (208) 847-4327
Enumeration DateApril 23, 2007
Last NPPES UpdateDecember 17, 2012
✔ NPI 1174741441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ID · M7743
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
166 S 5TH ST, Montpelier, ID 83254
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Other Names 1

Doing Business AsBear Lake Internal Medicine

Other Identifiers 4

Medicare ID-Type Unspecified138505ID · Rural Health Clinic
Medicare OSCAR/certification138505ID
Medicare OSCAR/certificationDA3027ID
Medicaid806833500ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.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)

Bear Lake Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to Bear Lake Internal Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Family Practice9
Nurse Practitioner5
Orthopedic Surgery3
Certified Registered Nurse Anesthetist (CRNA)2
General Surgery2
Nephrology2
Obstetrics/Gynecology2
Cardiovascular Disease (Cardiology)1
6 other specialties6

Nearest to this location (20)

See all 32
Jacob Lufkin, C.R.N.A.
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457741167
164 S 5TH ST
Montpelier, ID 83254
(208) 847-1630
Same address
Khristina Meissner, DO
Family Practice
NPI 1982018123
166 S 5TH ST
Montpelier, ID 83254
(208) 847-1110
✔ PECOS✔ Accepts MedicareSame address
Kasey Ward, NP
Nurse Practitioner
NPI 1609504356
164 S 5TH ST
Montpelier, ID 83254
(208) 847-1630
✔ PECOS✔ Accepts MedicareSame address
Brandon Henscheid, PSY.D.
Clinical Psychologist
NPI 1447516984
455 WASHINGTON ST
Montpelier, ID 83254
(208) 847-4464
✔ PECOS✔ Accepts Medicare0.1 mi
Peter Crane, M.D.
Family Practice
NPI 1891960233
465 WASHINGTON ST
Montpelier, ID 83254
(208) 847-4495
✔ PECOS✔ Accepts Medicare0.1 mi
Lance Hansen, MD
Family Practice
NPI 1861620262
465 WASHINGTON ST
Montpelier, ID 83254
(208) 847-4495
✔ PECOS✔ Accepts Medicare0.1 mi
Shaun Tobler, MSW, LCSW
Clinical Social Worker
NPI 1295891844
455 WASHINGTON ST STE 2
Montpelier, ID 83254
(208) 847-4464
✔ PECOS✔ Accepts Medicare0.1 mi
Alex Carr, FNP
Nurse Practitioner
NPI 1013623529
164 S 5TH ST
Montpelier, ID 83254
(208) 847-1630
✔ PECOS✔ Accepts Medicare0.2 mi
Nicholas Packer, M.D.
Obstetrics/Gynecology
NPI 1891086377
164 S 5TH ST
Montpelier, ID 83254
(208) 847-1110
✔ PECOS✔ Accepts Medicare0.2 mi
Houston Reynolds, MD
Family Practice
NPI 1609498336
164 S 5TH ST
Montpelier, ID 83254
(208) 514-2529
✔ PECOS✔ Accepts Medicare0.2 mi
Flint Jacobson, NP
Nurse Practitioner
NPI 1033837893
166 S 5TH ST
Montpelier, ID 83254
(208) 847-3847
✔ PECOS✔ Accepts Medicare0.2 mi
Trevor Jacobson, M.D.
Family Practice
NPI 1366677759
166 S 5TH ST
Montpelier, ID 83254
(208) 847-1110
✔ PECOS✔ Accepts Medicare0.2 mi
Benjamin Bosen, DO
Family Practice
NPI 1134655756
288 S PARADISE PKWY # 154
Garden City, UT 84028
(435) 255-1630
✔ PECOS✔ Accepts Medicare26 mi
Jonah Green, MD
General Surgery
NPI 1013079524
110 HOSPITAL LN
Afton, WY 83110
(307) 885-5852
✔ PECOS✔ Accepts Medicare33 mi
Jennifer Felter, NP
Nurse Practitioner
NPI 1134417843
220 BANNOCK ST
Malad City, ID 83252
(208) 766-2231
✔ PECOS✔ Accepts Medicare50 mi
Ryan Longmore, D.O.
Cardiovascular Disease (Cardiology)
NPI 1285884213
777 HOSPITAL WAY # 101
Pocatello, ID 83201
(208) 234-2001
✔ PECOS✔ Accepts Medicare69 mi
Amandeep Chadha, MD
Nephrology
NPI 1881635845
4345 HARRISON BLVD STE 101
Ogden, UT 84403
(385) 350-8500
✔ PECOS✔ Accepts Medicare85 mi
Ryan Mcdonald, MD
Nephrology
NPI 1194915561
2132 N 1700 W SUITE 110
Layton, UT 84041
(801) 779-3500
✔ PECOS✔ Accepts Medicare92 mi
Justin Parkinson, MD
Urology
NPI 1851314066
1551 RENAISSANCE TOWNE DR SUITE 370
Bountiful, UT 84010
(801) 965-3600
✔ PECOS✔ Accepts Medicare104 mi
Hans Redd, MD
Internal Medicine
NPI 1558348649
100 SHC
Rexburg, ID 83460
(208) 496-1300
✔ PECOS✔ Accepts Medicare106 mi
See all 32 clinicians

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

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 for Provider-Performed Microscopy Procedures (PPMP) 13D0890013

Bear Lake Internal Medicine · Montpelier, ID
Active · expires Aug 9, 2028
CLIA Number13D0890013
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 10, 2026
Certificate Expiration DateAugust 9, 2028
Laboratory DirectorTrevor Jacobson
Laboratory Phone(208) 847-4410
Laboratory LocationBear Lake Internal Medicine166 S 5th St, Montpelier, ID 83254
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Bear Lake County Memorial Hospital's NPI number?

The NPI number for Bear Lake County Memorial Hospital is 1174741441. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is doing business as Bear Lake Internal Medicine.

Where is Bear Lake County Memorial Hospital located?

Bear Lake County Memorial Hospital is located at 166 S 5th St, Montpelier, ID 83254. The listed phone number is (208) 847-1110.

What is Bear Lake County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bear Lake County Memorial Hospital enrolled in Medicare?

Yes. Bear Lake County Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bear Lake County Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 14 Medicare specialties reassign their Medicare billing to Bear Lake County Memorial Hospital. 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 Family Practice (9), Nurse Practitioner (5) and Orthopedic Surgery (3). Of these, 3 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bear Lake County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0890013) is associated with this NPI, valid through August 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bear Lake County Memorial Hospital accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Bear Lake County Memorial Hospital 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 Bear Lake County Memorial Hospital was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.