BRIAN BRIMHALL PMHNP
NPI 1245796101
Nurse Practitioner - Psychiatric/Mental Health in Idaho Falls, ID

Active since February 15, 2019PECOS EnrolledAccepts Medicare Assignment
2420 E 25TH ST, IDAHO FALLS, ID 83404(208) 542-1026 Get Directions Write a Review

NPPES record last updated: February 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brian Brimhall Pmhnp NPPES

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

BRIAN BRIMHALL PMHNP (NPI 1245796101) is an individual psychiatric/mental health provider in Idaho Falls, Idaho, licensed in Idaho (60802) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2018).

NPPES Registry Identity

NPI1245796101
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBRIAN BRIMHALLCredential: PMHNP
Location Address2420 E 25TH STIdaho Falls, ID 83404-7549
Mailing Address2420 E 25th StIdaho Falls, ID 83404-7549 · (208) 542-1026
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2018
Enumeration DateFebruary 15, 2019
✔ NPI 1245796101 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 · 60802
2420 E 25TH ST, Idaho Falls, ID 83404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Brimhall Pmhnp 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 ID6103168745
PECOS Enrollment IDI20190430002048, I20231002002241
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brian Brimhall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
1248 E 17TH ST
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho and Wyoming enrollments
  • Also billed through NPI 1396578902 (Wyoming)
  • 34 clinicians in this Medicare group
Professional
444 HOSPITAL WAY STE 477
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 10 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
249 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2420 E 25TH ST
IDAHO FALLS, ID 83404
Counselor
2420 E 25TH ST
IDAHO FALLS, ID 83404
Social Worker (Clinical)
2420 E 25TH ST
IDAHO FALLS, ID 83404
Counselor (Mental Health)
2420 E 25TH ST
IDAHO FALLS, ID 83404
Counselor (Professional)
2420 E 25TH ST
IDAHO FALLS, ID 83404
Social Worker (Clinical)
2420 E 25TH ST
IDAHO FALLS, ID 83404
Social Worker
2420 E 25TH ST
IDAHO FALLS, ID 83404
Registered Nurse (Psychiatric/Mental Health)
2420 E 25TH ST
IDAHO FALLS, ID 83404

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 Brian Brimhall's NPI number?

The NPI number for Brian Brimhall is 1245796101. It was assigned to this individual provider in the NPPES registry on February 15, 2019.

Where is Brian Brimhall located?

Brian Brimhall practices at 2420 E 25th St, Idaho Falls, ID 83404. The listed phone number is (208) 542-1026.

What is Brian Brimhall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Brian Brimhall enrolled in Medicare?

Yes. Brian Brimhall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brian Brimhall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Brimhall reassigns Medicare benefits to 2 organizations: High Country Behavioral Health (Idaho Falls, ID) and Portneuf Valley Family Center (Pocatello, ID). Each 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 Brian Brimhall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Brimhall accept?

Health plans from Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Select Health and 1 other insurer list Brian Brimhall 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 Brian Brimhall was last updated on February 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.