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TREASURE VALLEY METABOLIC MEDICINE
NPI 1285271635
Internal Medicine - Endocrinology, Diabetes & Metabolism in Eagle, ID

Active since December 04, 2019CLIA 13D2176348 · Waiver
951 E PLAZA DR STE 110, EAGLE, ID 83616(208) 274-9580(208) 274-9581 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 23, 2021, Apr 26, 2020, Dec 4, 2019 (3 updates tracked since 2019).

About Treasure Valley Metabolic Medicine NPPES

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

TREASURE VALLEY METABOLIC MEDICINE (NPI 1285271635) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Eagle, Idaho and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Katy Connley, Ceo, Owner, as its authorized official.

NPPES Registry Identity

NPI1285271635
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameTREASURE VALLEY METABOLIC MEDICINE
Location Address951 E PLAZA DR STE 110Eagle, ID 83616-6567
Mailing Address951 E Plaza Dr Ste 110Eagle, ID 83616-6567 · (208) 274-9580 · Fax (208) 274-9581
Phone(208) 274-9580
Fax(208) 274-9581
Organization SubpartNo
Authorized OfficialKaty ConnleyCeo, Owner · (208) 830-6773
Enumeration DateDecember 4, 2019
Last NPPES UpdateMarch 23, 20213 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1285271635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedFamily MedicineTaxonomy 207Q00000X
951 E PLAZA DR STE 110, Eagle, ID 83616
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare.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)

Treasure Valley Metabolic Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Treasure Valley Metabolic Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Katy Connley, FNP-C
Nurse Practitioner
NPI 1679980551
951 E PLAZA DR STE 110
Eagle, ID 83616
(208) 274-9850
✔ PECOS✔ Accepts MedicareSame address
Laurel Defoggi, FNP-BC
Nurse Practitioner
NPI 1356195200
951 E PLAZA DR STE 110
Eagle, ID 83616
(208) 274-9580
✔ PECOS✔ Accepts MedicareSame address
Megan Brock, PMNHP
Nurse Practitioner
NPI 1083357651
2498 N STOKESBERRY PL STE 170
Meridian, ID 83646
(208) 918-0958
✔ PECOS✔ Accepts Medicare4.5 mi

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 Waiver 13D2176348

Treasure Valley Metabolic Medicine LLC · Eagle, ID
Active · expires Dec 11, 2027
CLIA Number13D2176348
Laboratory TypeIndependent
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorKaty Connley
Laboratory Phone(208) 830-6773
Laboratory LocationTreasure Valley Metabolic Medicine LLC951 East Plaza Dr Ste 110, Eagle, ID 83616
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Treasure Valley Metabolic Medicine's NPI number?

The NPI number for Treasure Valley Metabolic Medicine is 1285271635. It was assigned to this organization in the NPPES registry on December 4, 2019.

Where is Treasure Valley Metabolic Medicine located?

Treasure Valley Metabolic Medicine is located at 951 E Plaza Dr Ste 110, Eagle, ID 83616. The listed phone number is (208) 274-9580.

What is Treasure Valley Metabolic Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Treasure Valley Metabolic Medicine enrolled in Medicare?

Yes. Treasure Valley Metabolic Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Treasure Valley Metabolic Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Treasure Valley Metabolic Medicine. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Treasure Valley Metabolic Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2176348) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Treasure Valley Metabolic Medicine accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Treasure Valley Metabolic Medicine 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 Treasure Valley Metabolic Medicine was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.