PORTNEUF MEDICAL PRACTICES
NPI 1215165485
General Acute Care Hospital in Pocatello, ID

Active since June 26, 2009
777 HOSPITAL WAY, POCATELLO, ID 83201(208) 239-2065(208) 239-3754 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Portneuf Medical Practices NPPES

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

PORTNEUF MEDICAL PRACTICES (NPI 1215165485) is a healthcare organization registered as a general acute care hospital in Pocatello, Idaho and active in the NPI registry since June 2009. The organization lists John E Abreu, Cfo, as its authorized official.

NPPES Registry Identity

NPI1215165485
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NamePOCATELLO HEALTH SERVICES, LLC
Location Address777 HOSPITAL WAYPocatello, ID 83201-5175
Mailing AddressPo Box 4168Pocatello, ID 83205-4168 · (208) 239-2065 · Fax (208) 239-3754
Fax(208) 239-3754
Organization SubpartNo
Authorized OfficialJohn E AbreuCfo · (208) 239-1020
Enumeration DateJune 26, 2009
Last NPPES UpdateApril 18, 2012
✔ NPI 1215165485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in ID · 12
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
777 HOSPITAL WAY, Pocatello, ID 83201

Other Names 1

Doing Business AsPortneuf Medical Practices

Other Identifiers 2

Medicaid808437000ID
Medicare PIN13690031

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 Medical Practices is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

188

Medicare enrollment records show 188 clinicians reassign Medicare billing to Portneuf Medical Practices, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 90 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Family Practice27
Nurse Practitioner26
Neurology21
Internal Medicine13
General Surgery9
Interventional Cardiology8
Orthopedic Surgery8
Psychiatry8
28 other specialties68

Nearest to this location (20)

See all 188
General Surgery
NPI 1184067613
777 HOSPITAL WAY STE 201
Pocatello, ID 83201
(208) 239-2620
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1730599598
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1720
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1548216252
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1415
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982979936
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1346236213
777 HOSPITAL WAY BLDG A STE. 101
Pocatello, ID 83201
(208) 234-2001
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851885420
777 HOSPITAL WAY OFC BLDG
Pocatello, ID 83201
(208) 239-1960
✔ PECOS✔ Accepts MedicareSame address
Undersea and Hyperbaric Medicine
NPI 1871524256
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 233-0607
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1720741101
777 HOSPITAL WAY STE 201
Pocatello, ID 83201
(208) 239-2620
Same address
General Surgery
NPI 1700096708
777 HOSPITAL WAY STE 201
Pocatello, ID 83201
(208) 239-2620
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396203428
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-3899
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1770579658
777 HOSPITAL WAY BLDG A STE. 101
Pocatello, ID 83201
(208) 234-2001
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1083069488
777 HOSPITAL WAY STE 115
Pocatello, ID 83201
(208) 239-1960
✔ Accepts MedicareSame address
Urology
NPI 1164518908
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-2724
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1407276835
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-2722
✔ PECOS✔ Accepts MedicareSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1275836157
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1528414471
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1194270280
777 HOSPITAL WAY STE 101
Pocatello, ID 83201
(208) 239-3899
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1497824007
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-2850
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1639485246
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1920
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1104928670
950 HOSPITAL WAY STE A
Pocatello, ID 83201
(208) 478-4522
✔ PECOS✔ Accepts MedicareSame address
See all 188 clinicians

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 Pocatello Health Services, LLC's NPI number?

The NPI number for Pocatello Health Services, LLC is 1215165485. It was assigned to this organization in the NPPES registry on June 26, 2009. The provider is doing business as Portneuf Medical Practices.

Where is Pocatello Health Services, LLC located?

Pocatello Health Services, LLC is located at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (208) 239-2065.

What is Pocatello Health Services, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Pocatello Health Services, LLC enrolled in Medicare?

Yes. Pocatello Health Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pocatello Health Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 188 clinicians in 36 Medicare specialties reassign their Medicare billing to Pocatello Health Services, LLC. 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 (27), Nurse Practitioner (26) and Neurology (21). Of these, 24 practice at this address and 90 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pocatello Health Services, LLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Pocatello Health Services, LLC 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 Pocatello Health Services, LLC was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.