FAMILY PRACTICE GROUP, P.A.
NPI 1205869310
Family Medicine in Pocatello, ID
About Family Practice Group, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY PRACTICE GROUP, P.A. (NPI 1205869310), doing business as Intermountain Medical Clinic, is a healthcare organization registered as a family medicine in Pocatello, Idaho and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 26, 2028, maintains a secondary practice location in Pocatello, and lists Shelly Stranski, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Secondary Practice Location 1
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)
Family Practice Group, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Family Practice Group, P.A., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
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 of Compliance 13D0520334
Family Practice Group, PA Dba Intermountain Medical Clinic · Pocatello, IDFrequently 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 Family Practice Group, P.A.'s NPI number?
The NPI number for Family Practice Group, P.A. is 1205869310. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as InterMountain Medical Clinic.
Where is Family Practice Group, P.A. located?
Family Practice Group, P.A. is located at 1951 Bench Rd Suite B, Pocatello, ID 83201. The listed phone number is (208) 238-1000.
What is Family Practice Group, P.A.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Family Practice Group, P.A. enrolled in Medicare?
Yes. Family Practice Group, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Practice Group, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Family Practice Group, P.A.. 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 (8), Nurse Practitioner (2) and Obstetrics/Gynecology (1). Of these, 7 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Practice Group, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 13D0520334) is associated with this NPI, valid through September 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Family Practice Group, P.A. accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare and Select Health list Family Practice Group, P.A. 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 Family Practice Group, P.A. was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Family Practice Group, P.a. · NPI 1205869310
Family Medicine organization in Pocatello, Idaho. Organization record, active in the CMS NPPES registry since July 9, 2006.
## Identity
- **NPI:** 1205869310 (Entity type: Organization)
- **Enumerated:** July 9, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** InterMountain Medical Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Shelly Stranski, ADMINISTRATOR
## Practice location
- **Address:** 1951 BENCH RD, SUITE B, Pocatello, ID 83201-2073
- **Phone:** (208) 238-1000 · **Fax:** (238) 238-0009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (8), Nurse Practitioner (2), Obstetrics/Gynecology (1); 7 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 11, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205869310) · Data from the CMS NPPES public registry.