COMMUNITY CARE WEST SIDE LLC
NPI 1295009785
Family Medicine in Idaho Falls, ID
About Community Care West Side Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY CARE WEST SIDE LLC (NPI 1295009785) is a healthcare organization registered as a family medicine in Idaho Falls, Idaho and active in the NPI registry since February 2012. The organization holds a CLIA Certificate of Compliance certificate valid through February 6, 2028 and lists Heather Mcvey, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community Care West Side Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Community Care West Side LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 38Source: 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 13D0520845
Community Care Idaho Falls West · Idaho Falls, 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 Community Care West Side LLC's NPI number?
The NPI number for Community Care West Side LLC is 1295009785. It was assigned to this organization in the NPPES registry on February 29, 2012.
Where is Community Care West Side LLC located?
Community Care West Side LLC is located at 765 S Utah Ave, Idaho Falls, ID 83402. The listed phone number is (208) 525-2600.
What is Community Care West Side LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Community Care West Side LLC enrolled in Medicare?
Yes. Community Care West Side LLC is registered in the Medicare PECOS enrollment system.
When is Community Care West Side LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Community Care West Side LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 3 Medicare specialties reassign their Medicare billing to Community Care West Side 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 Nurse Practitioner (30), Family Practice (5) and Osteopathic Manipulative Medicine (3). Of these, 3 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Community Care West Side LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 13D0520845) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Community Care West Side LLC accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare and University of Utah Health Plans list Community Care West Side 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 Community Care West Side LLC was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Community Care West Side Llc · NPI 1295009785
Family Medicine organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since February 29, 2012.
## Identity
- **NPI:** 1295009785 (Entity type: Organization)
- **Enumerated:** February 29, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Heather Mcvey, OFFICE MANAGER
## Practice location
- **Address:** 765 S UTAH AVE, Idaho Falls, ID 83402-5093
- **Phone:** (208) 525-2600 · **Fax:** (208) 525-2611
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 38 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (30), Family Practice (5), Osteopathic Manipulative Medicine (3); 3 practice at this address and 18 within 10 miles; [full list](https://npiprofile.com/npi/1295009785/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295009785) · Data from the CMS NPPES public registry.