RYLAN ANDERSON DO
NPI 1184317554
Family Medicine in Pocatello, ID
About Rylan Anderson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYLAN ANDERSON DO (NPI 1184317554) is an individual family medicine provider in Pocatello, Idaho, licensed in Idaho (8161170) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Nell J Redfield Memorial Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rylan Anderson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rylan Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Manti, UT 84642
- Reassigned Medicare billing, Utah enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nell J Redfield Memorial Hospital
Critical Access Hospitals · Malad, IDGunnison Valley Hospital
Critical Access Hospitals · Gunnison, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rylan Anderson's NPI number?
The NPI number for Rylan Anderson is 1184317554. It was assigned to this individual provider in the NPPES registry on May 31, 2023.
Where is Rylan Anderson located?
Rylan Anderson practices at 465 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 232-7862.
What is Rylan Anderson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rylan Anderson enrolled in Medicare?
Yes. Rylan Anderson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rylan Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rylan Anderson reassigns Medicare benefits to Gunnison Valley Hospital (Manti, UT). 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 Rylan Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rylan Anderson accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Rylan Anderson 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.
Is Rylan Anderson affiliated with any hospitals?
According to CMS data, Rylan Anderson is affiliated with Nell J Redfield Memorial Hospital and Gunnison Valley Hospital.
When was this NPI record last updated?
The NPPES record for Rylan Anderson was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Rylan Anderson, DO · NPI 1184317554
Family Medicine physician in Pocatello, Idaho. Individual provider, active in the CMS NPPES registry since May 31, 2023.
## Identity
- **NPI:** 1184317554 (Entity type: Individual)
- **Enumerated:** May 31, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 8161170 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 465 MEMORIAL DR, Pocatello, ID 83201-4008
- **Phone:** (208) 232-7862
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gunnison Valley Hospital (NPI 1063038628, Manti, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1184317554) · Data from the CMS NPPES public registry.