BROOKELLE SMITH GUNN PA
NPI 1316686595
Physician Assistant - Medical in Chubbuck, ID

Active since June 03, 2022PECOS EnrolledAccepts Medicare Assignment
880 W QUINN RD, CHUBBUCK, ID 83202(208) 238-2000 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2023, Feb 24, 2023 (2 updates tracked since 2023).

About Brookelle Smith Gunn Pa NPPES

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

BROOKELLE SMITH GUNN PA (NPI 1316686595) is an individual medical provider in Chubbuck, Idaho, licensed in Idaho (PA-2451) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316686595
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBROOKELLE SMITH GUNNCredential: PA
Location Address880 W QUINN RDChubbuck, ID 83202-2454
Mailing Address500 S 11th Ave Ste 400Pocatello, ID 83201-4880
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 3, 2022
Last NPPES UpdateFebruary 21, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
NPI 1316686595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ID · PA-2451
880 W QUINN RD, Chubbuck, ID 83202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brookelle Smith Gunn Pa 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 ID446615371
PECOS Enrollment IDI20230428001748
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID
4/5 CMS rating
OwnershipProprietary
CMS Certification Number130028
Location777 Hospital WayPocatello, ID 83201 · Bannock County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

Physician Assistant
880 W QUINN RD
CHUBBUCK, ID 83202
Pharmacist
880 W QUINN RD
CHUBBUCK, ID 83202
Nurse Practitioner (Family)
880 W QUINN RD
CHUBBUCK, ID 83202
Clinic/Center (Federally Qualified Health Center (FQHC))
880 W QUINN RD
CHUBBUCK, ID 83202
Pharmacy (Community/Retail Pharmacy)
880 W QUINN RD
CHUBBUCK, ID 83202

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 Brookelle Gunn's NPI number?

The NPI number for Brookelle Gunn is 1316686595. It was assigned to this individual provider in the NPPES registry on June 3, 2022.

Where is Brookelle Gunn located?

Brookelle Gunn practices at 880 W Quinn Rd, Chubbuck, ID 83202. The listed phone number is (208) 238-2000.

What is Brookelle Gunn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brookelle Gunn enrolled in Medicare?

Yes. Brookelle Gunn 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.

What insurance does Brookelle Gunn accept?

Health plans from Providence Health Plan and Select Health list Brookelle Gunn 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.

Is Brookelle Gunn affiliated with any hospitals?

According to CMS data, Brookelle Gunn is affiliated with Portneuf Medical Center.

When was this NPI record last updated?

The NPPES record for Brookelle Gunn was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.