Official registry information on file with the National Plan and Provider Enumeration System.
PURE INFUSION OF IDAHO LLC (NPI 1295680197) is a healthcare organization registered as a multi-specialty in Boise, Idaho and active in the NPI registry since March 2026. The organization holds 32 active CLIA laboratory certificates, maintains 6 additional practice locations, and lists Rachel Fraga, Vp Of Payer Development, as its authorized official.
NPPES Registry Identity
NPI1295680197
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePURE INFUSION OF IDAHO LLC
Location Address5975 W OVERLAND RDBoise, ID 83709-3012
Mailing Address75 W Towne Ridge Pkwy Ste 500Sandy, UT 84070-5531 · (801) 590-9267
Location 13015 E Goldstone Dr Ste 130Meridian, ID 83642-1224 · Phone (888) 209-8874
Location 21411 Falls Ave E Ste 1151ATwin Falls, ID 83301-3455 · Phone (208) 543-7995
Location 311118 Moss LnNampa, ID 83651-8015 · Phone (208) 563-5910
Location 41750 W McMillan Rd Ste 120Meridian, ID 83646-6891 · Phone (208) 900-4480
Location 53423 Merlin DrIdaho Falls, ID 83404-7430 · Phone (208) 217-9099
Location 6916 W Ironwood Dr Ste Ul1Coeur D Alene, ID 83814-2642 · Phone (208) 577-5380
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)
Pure Infusion Of Idaho Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6
Medicare enrollment records show 6 clinicians reassign Medicare billing to Pure Infusion Of Idaho LLC, which bills Medicare for the services they deliver. They are listed nearest first.
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 CLIA32
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.
Laboratory LocationPure Infusion Of Goodyear13657 W Mcdowell Rd Ste 204, Goodyear, AZ 85395
CLIA data matches this NPI record on: ✓ 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 Pure Infusion Of Idaho LLC's NPI number?
The NPI number for Pure Infusion Of Idaho LLC is 1295680197. It was assigned to this organization in the NPPES registry on March 4, 2026.
Where is Pure Infusion Of Idaho LLC located?
Pure Infusion Of Idaho LLC is located at 5975 W Overland Rd, Boise, ID 83709. The listed phone number is (208) 488-4998.
What is Pure Infusion Of Idaho LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Pure Infusion Of Idaho LLC enrolled in Medicare?
Yes. Pure Infusion Of Idaho LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pure Infusion Of Idaho LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Pure Infusion Of Idaho 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 (5) and Emergency Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pure Infusion Of Idaho LLC hold CLIA laboratory certificates?
Yes. 32 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Pure Infusion Of Idaho LLC accept?
Health plans from Moda Health Plan, Inc. list Pure Infusion Of Idaho 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 Pure Infusion Of Idaho LLC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Pure Infusion Of Idaho Llc · NPI 1295680197
Multi-Specialty organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since March 4, 2026.
## Identity
- **NPI:** 1295680197 (Entity type: Organization)
- **Enumerated:** March 4, 2026
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Rachel Fraga, VP OF PAYER DEVELOPMENT
## Practice location
- **Address:** 5975 W OVERLAND RD, Boise, ID 83709-3012
- **Phone:** (208) 488-4998
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Emergency Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2026
- **CLIA laboratory certificates:** 32 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1295680197) · Data from the CMS NPPES public registry.
# Pure Infusion Of Idaho Llc · NPI 1295680197
Multi-Specialty organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since March 4, 2026.
## Identity
- **NPI:** 1295680197 (Entity type: Organization)
- **Enumerated:** March 4, 2026
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Rachel Fraga, VP OF PAYER DEVELOPMENT
## Practice location
- **Address:** 5975 W OVERLAND RD, Boise, ID 83709-3012
- **Phone:** (208) 488-4998
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Emergency Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2026
- **CLIA laboratory certificates:** 32 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1295680197) · Data from the CMS NPPES public registry.