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ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA
NPI 1336220243
Internal Medicine - Endocrinology, Diabetes & Metabolism in Idaho Falls, ID

Active since October 18, 2006
3910 WASHINGTON PKWY, IDAHO FALLS, ID 83404(208) 522-2996(208) 523-3318 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rocky Mountain Diabetes And Osteoporosis Center Pa NPPES

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

ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA (NPI 1336220243) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Idaho Falls, Idaho and active in the NPI registry since October 2006. The organization lists Janet M Hoover, Billing Lead, as its authorized official.

NPPES Registry Identity

NPI1336220243
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA
Location Address3910 WASHINGTON PKWYIdaho Falls, ID 83404-7596
Mailing Address3910 Washington PkwyIdaho Falls, ID 83404-7883 · (208) 522-2996 · Fax (208) 523-2582
Phone(208) 522-2996
Fax(208) 523-3318
Organization SubpartNo
Authorized OfficialJanet M HooverBilling Lead · (208) 522-2996
Enumeration DateOctober 18, 2006
Last NPPES UpdateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1336220243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in ID · M7763✔ Licensed in ID · M4220✔ Licensed in ID · M9285
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3910 WASHINGTON PKWY, Idaho Falls, ID 83404
Open in Google Maps ↗

Other Identifiers 2

Other42200Blue Cross
Other804012300Healthy Connections

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.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)

Rocky Mountain Diabetes And Osteoporosis Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 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.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20041123000397Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Rocky Mountain Diabetes And Osteoporosis Center PA, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Registered Dietitian or Nutrition Professional8
Endocrinology4
Nurse Practitioner4
Internal Medicine1

Clinicians, nearest first (17)

Lisa Hardy, R.D. L.D.
Registered Dietitian or Nutrition Professional
NPI 1679813489
3910 WASHINGTON PKWY
Idaho Falls, ID 83404
(208) 523-1122
✔ Accepts MedicareSame address
Kathryn Nielsen, NP
Nurse Practitioner
NPI 1619416674
3910 WASHINGTON PARKWAY
Idaho Falls, ID 83404
(208) 528-0253
✔ PECOS✔ Accepts MedicareSame address
Joshua Smith, M.D.
Endocrinology
NPI 1154528727
3910 WASHINGTON PKWY
Idaho Falls, ID 83404
(208) 523-1122
✔ PECOSSame address
Carl Vance, MD
Endocrinology
NPI 1437159423
3910 WASHINGTON PARKWAY
Idaho Falls, ID 83404
(208) 523-1122
✔ PECOS✔ Accepts MedicareSame address
Jonathan Williams, NP
Nurse Practitioner
NPI 1821253683
3910 WASHINGTON PARKWAY
Idaho Falls, ID 83404
(208) 523-1122
✔ PECOS✔ Accepts MedicareSame address
Lynnette Barker, MS, RDN, LD
Registered Dietitian or Nutrition Professional
NPI 1841905270
3910 WASHINGTON PKWY
Idaho Falls, ID 83404
(208) 523-1122
✔ Accepts MedicareSame address
David Liljenquist, MD
Endocrinology
NPI 1932109931
3910 WASHINGTON PARKWAY
Idaho Falls, ID 83404
(208) 523-1122
✔ PECOS✔ Accepts MedicareSame address
Kevin Prier
Internal Medicine
NPI 1801393798
3910 WASHINGTON PKWY
Idaho Falls, ID 83404
(208) 523-1122
✔ PECOS✔ Accepts MedicareSame address
Rebecca Sulik
Registered Dietitian or Nutrition Professional
NPI 1013940386
2220 E 25TH ST
Idaho Falls, ID 83404
(208) 523-1122
✔ Accepts Medicare1.0 mi
John Liljenquist, MD
Endocrinology
NPI 1619977600
2220 E 25TH ST
Idaho Falls, ID 83404
(208) 522-2996
✔ PECOS1.0 mi
Brittany Mcintosh
Registered Dietitian or Nutrition Professional
NPI 1518075670
2220 E 25TH ST
Idaho Falls, ID 83404
(208) 522-2996
✔ Accepts Medicare1.0 mi
Barbara Moulton
Registered Dietitian or Nutrition Professional
NPI 1275552978
2220 E 25TH ST
Idaho Falls, ID 83404
(208) 523-1122
✔ Accepts Medicare1.0 mi
Kesta Taylor
Registered Dietitian or Nutrition Professional
NPI 1649388703
2220 E 25TH ST
Idaho Falls, ID 83404
(208) 523-1122
✔ Accepts Medicare1.0 mi
Jedd Walker, FNP-C
Nurse Practitioner
NPI 1326751132
459 SPRINGWOOD LN
Idaho Falls, ID 83404
(208) 716-5063
✔ PECOS✔ Accepts Medicare1.7 mi
Sara Brown
Registered Dietitian or Nutrition Professional
NPI 1932773413
911 PIONEER DR
Soda Springs, ID 83276
(208) 547-7630
✔ Accepts Medicare59 mi
Jacqlyn Raivo, RDN
Registered Dietitian or Nutrition Professional
NPI 1740746403
1859 S TOPAZ WAY STE 100
Meridian, ID 83642
(208) 209-2432
✔ Accepts Medicare219 mi
Justin Rogers, CRNP
Nurse Practitioner
NPI 1003581620
111 S FRONT ST
Harrisburg, PA 17101
(717) 782-3131
✔ PECOS✔ Accepts Medicare1,811 mi

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 Rocky Mountain Diabetes And Osteoporosis Center PA's NPI number?

The NPI number for Rocky Mountain Diabetes And Osteoporosis Center PA is 1336220243. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Rocky Mountain Diabetes And Osteoporosis Center PA located?

Rocky Mountain Diabetes And Osteoporosis Center PA is located at 3910 Washington Pkwy, Idaho Falls, ID 83404. The listed phone number is (208) 522-2996.

What is Rocky Mountain Diabetes And Osteoporosis Center PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Rocky Mountain Diabetes And Osteoporosis Center PA enrolled in Medicare?

Yes. Rocky Mountain Diabetes And Osteoporosis Center PA is registered in the Medicare PECOS enrollment system.

When is Rocky Mountain Diabetes And Osteoporosis Center PA'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 February 28, 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 Rocky Mountain Diabetes And Osteoporosis Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Rocky Mountain Diabetes And Osteoporosis Center PA. 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 Registered Dietitian or Nutrition Professional (8), Endocrinology (4) and Nurse Practitioner (4). Of these, 8 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Rocky Mountain Diabetes And Osteoporosis Center PA accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and University of Utah Health Plans list Rocky Mountain Diabetes And Osteoporosis Center PA 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 Rocky Mountain Diabetes And Osteoporosis Center PA was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.