BEAR LAKE COUNTY MEMORIAL HOSPITAL
NPI 1336125533
General Acute Care Hospital - Critical Access in Montpelier, ID
About Bear Lake County Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEAR LAKE COUNTY MEMORIAL HOSPITAL (NPI 1336125533) is a healthcare organization registered as a critical access in Montpelier, Idaho and active in the NPI registry since December 2005. The organization lists Rodney Jacobson, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Bear Lake County Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Bear Lake County Memorial Hospital, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 34Source: 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 Bear Lake County Memorial Hospital's NPI number?
The NPI number for Bear Lake County Memorial Hospital is 1336125533. It was assigned to this organization in the NPPES registry on December 20, 2005.
Where is Bear Lake County Memorial Hospital located?
Bear Lake County Memorial Hospital is located at 164 S 5th St, Montpelier, ID 83254. The listed phone number is (208) 847-1630.
What is Bear Lake County Memorial Hospital's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.
Is Bear Lake County Memorial Hospital enrolled in Medicare?
Yes. Bear Lake County Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bear Lake County Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 15 Medicare specialties reassign their Medicare billing to Bear Lake County 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 Family Practice (9), Nurse Practitioner (5) and Certified Registered Nurse Anesthetist (CRNA) (3). Of these, 5 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bear Lake County Memorial Hospital accept?
Health plans from PacificSource Health Plans, Providence Health Plan and Select Health list Bear Lake County 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 Bear Lake County Memorial Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Bear Lake County Memorial Hospital · NPI 1336125533
Critical Access organization in Montpelier, Idaho. Organization record, active in the CMS NPPES registry since December 20, 2005.
## Identity
- **NPI:** 1336125533 (Entity type: Organization)
- **Enumerated:** December 20, 2005
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Organization subpart:** No
- **Authorized official:** Rodney Jacobson, ADMINISTRATOR
## Practice location
- **Address:** 164 S 5TH ST, Montpelier, ID 83254-1557
- **Phone:** (208) 847-1630 · **Fax:** (208) 847-2201
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 34 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (9), Nurse Practitioner (5), Certified Registered Nurse Anesthetist (CRNA) (3); 5 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1336125533/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1336125533) · Data from the CMS NPPES public registry.