MADISON MEMORIAL OUTPATIENT SERVICES
NPI 1316460264
Physiological Laboratory in Rexburg, ID

Active since July 24, 2017
255 N 3RD E STE 200, REXBURG, ID 83440(208) 359-6516 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2023, Jul 21, 2022, Feb 21, 2020 and 1 more (4 updates tracked since 2017).

About Madison Memorial Outpatient Services NPPES

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

MADISON MEMORIAL OUTPATIENT SERVICES (NPI 1316460264) is a healthcare organization registered as a physiological laboratory in Rexburg, Idaho and active in the NPI registry since July 2017. The organization lists Troy Christensen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1316460264
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameMADISON CO MEMORIAL HOSPITAL
Location Address255 N 3RD E STE 200Rexburg, ID 83440-1629
Mailing AddressPo Box 700Rexburg, ID 83440-0700 · (208) 359-6516
Organization SubpartYes
Authorized OfficialTroy ChristensenChief Financial Officer · (208) 359-9802
Enumeration DateJuly 24, 2017
Last NPPES UpdateMarch 9, 20234 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
✔ NPI 1316460264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
255 N 3RD E STE 200, Rexburg, ID 83440

Other Names 1

Doing Business AsMadison Memorial Outpatient Services

Accepted 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)

Madison Memorial Outpatient Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

40

Medicare enrollment records show 40 clinicians reassign Medicare billing to Madison Memorial Outpatient Services, which bills Medicare for the services they deliver. Of these, 33 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner10
Family Practice8
Orthopedic Surgery4
Certified Nurse Midwife (CNM)3
Clinical Social Worker3
Internal Medicine3
Obstetrics/Gynecology3
Podiatry2
4 other specialties4

Nearest to this location (20)

See all 40
Family Practice
NPI 1336140664
393 E 2ND N
Rexburg, ID 83440
(208) 356-5401
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1003312489
393 E 2ND N
Rexburg, ID 83440
(208) 356-5401
✔ PECOS0.2 mi
Family Practice
NPI 1629182282
393 E 2ND N
Rexburg, ID 83440
(208) 356-5401
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1760191340
72 S 1ST E STE 101
Rexburg, ID 83440
(208) 356-4900
✔ PECOS✔ Accepts Medicare0.6 mi
Obstetrics/Gynecology
NPI 1780328468
37 S 2ND E STE 201
Rexburg, ID 83440
(208) 356-0234
✔ PECOS0.8 mi
Obstetrics/Gynecology
NPI 1912150772
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1750329629
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Certified Nurse Midwife (CNM)
NPI 1881059103
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Certified Nurse Midwife (CNM)
NPI 1396468641
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Pediatric Medicine
NPI 1518196021
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS0.8 mi
Internal Medicine
NPI 1154524734
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Obstetrics/Gynecology
NPI 1932311925
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1659454734
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1851916365
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
General Practice
NPI 1205129897
37 S 2ND E
Rexburg, ID 83440
(208) 356-0234
✔ PECOS✔ Accepts Medicare0.8 mi
Podiatry
NPI 1306847819
25 MADISON PROFESSIONAL PARK
Rexburg, ID 83440
(208) 359-1400
✔ PECOS✔ Accepts Medicare0.8 mi
Registered Dietitian or Nutrition Professional
NPI 1124676663
393 E 2ND N
Rexburg, ID 83440
(208) 356-5401
0.9 mi
Orthopedic Surgery
NPI 1356629885
393 E 2ND N
Rexburg, ID 83440
(208) 359-6781
✔ PECOS✔ Accepts Medicare0.9 mi
Orthopedic Surgery
NPI 1518960087
360 EAST MAIN
Rexburg, ID 83440
(208) 356-9550
✔ PECOS✔ Accepts Medicare1.0 mi
Orthopedic Surgery
NPI 1508086844
360 E MAIN ST
Rexburg, ID 83440
(208) 356-9550
✔ PECOS✔ Accepts Medicare1.0 mi
See all 40 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Madison Co Memorial Hospital's NPI number?

The NPI number for Madison Co Memorial Hospital is 1316460264. It was assigned to this organization in the NPPES registry on July 24, 2017. The provider is doing business as Madison Memorial Outpatient Services.

Where is Madison Co Memorial Hospital located?

Madison Co Memorial Hospital is located at 255 N 3rd E Ste 200, Rexburg, ID 83440. The listed phone number is (208) 359-6516.

What is Madison Co Memorial Hospital's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

Is Madison Co Memorial Hospital enrolled in Medicare?

Yes. Madison Co Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madison Co Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 12 Medicare specialties reassign their Medicare billing to Madison Co Memorial Hospital. 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 (10), Family Practice (8) and Orthopedic Surgery (4). Of these, 33 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Madison Co Memorial Hospital accept?

Health plans from PacificSource Health Plans and University of Utah Health Plans list Madison Co Memorial Hospital 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 Madison Co Memorial Hospital was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.