RXPAD MEDICAL
NPI 1205553625
Nurse Practitioner - Family in Fruitland, ID
About Rxpad Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RXPAD MEDICAL (NPI 1205553625) is a healthcare organization registered as a family in Fruitland, Idaho and active in the NPI registry since October 2022. The organization lists Trenton Jenks, Owner/pharmacist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rxpad Medical 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 Rxpad Medical, 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.
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 Rxpad Medical's NPI number?
The NPI number for Rxpad Medical is 1205553625. It was assigned to this organization in the NPPES registry on October 26, 2022.
Where is Rxpad Medical located?
Rxpad Medical is located at 1620 N Whitley Dr Ste 103, Fruitland, ID 83619. The listed phone number is (208) 452-7075.
What is Rxpad Medical's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rxpad Medical enrolled in Medicare?
Yes. Rxpad Medical is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rxpad Medical?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rxpad Medical. 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.
When was this NPI record last updated?
The NPPES record for Rxpad Medical was last updated on July 26, 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.
# Rxpad Medical · NPI 1205553625
Family organization in Fruitland, Idaho. Organization record, active in the CMS NPPES registry since October 26, 2022.
## Identity
- **NPI:** 1205553625 (Entity type: Organization)
- **Enumerated:** October 26, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Trenton Jenks, OWNER/PHARMACIST
## Practice location
- **Address:** 1620 N WHITLEY DR STE 103, Fruitland, ID 83619-2129
- **Phone:** (208) 452-7075 · **Fax:** (208) 452-7446
## 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 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205553625) · Data from the CMS NPPES public registry.