MARGO NORTHRUP
NPI 1215757919
Nurse Practitioner - Psychiatric/Mental Health in Chubbuck, ID

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since October 16, 2024PECOS EnrolledAccepts Medicare Assignment

4650 HAWTHORNE RD STE 3B, CHUBBUCK, ID 83202(208) 252-5621(208) 648-4167 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Margo Northrup NPPES

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

MARGO NORTHRUP (NPI 1215757919) is an individual psychiatric/mental health provider in Chubbuck, Idaho, licensed in Idaho (4371958) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1215757919

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARGO NORTHRUP

Location Address4650 HAWTHORNE RD STE 3BChubbuck, ID 83202-2376

Mailing AddressPo Box 2516Pocatello, ID 83206-2516 · (208) 252-5621 · Fax (208) 648-4167

Phone(208) 252-5621

Fax(208) 648-4167

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 16, 2024

Last NPPES UpdateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1215757919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ID · 4371958

4650 HAWTHORNE RD STE 3B, Chubbuck, ID 83202

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Margo Northrup is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739688359

PECOS Enrollment IDI20250819004467

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.