SANTIBANEZ PAC IDAHO
NPI 1346015948
Internal Medicine - Geriatric Medicine in Idaho Falls, ID
About Santibanez Pac Idaho NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANTIBANEZ PAC IDAHO (NPI 1346015948) is a healthcare organization registered as a geriatric medicine in Idaho Falls, Idaho and active in the NPI registry since November 2023. The organization lists Julie Roser, Vp Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Santibanez Pac Idaho is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Santibanez Pac Idaho, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 25Source: 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 Santibanez Pac Idaho's NPI number?
The NPI number for Santibanez Pac Idaho is 1346015948. It was assigned to this organization in the NPPES registry on November 24, 2023.
Where is Santibanez Pac Idaho located?
Santibanez Pac Idaho is located at 840 E Elva St, Idaho Falls, ID 83401. The listed phone number is (208) 523-4795.
What is Santibanez Pac Idaho's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Santibanez Pac Idaho enrolled in Medicare?
Yes. Santibanez Pac Idaho is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Santibanez Pac Idaho?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 5 Medicare specialties reassign their Medicare billing to Santibanez Pac Idaho. 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 (15), Internal Medicine (6) and Hospitalist (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Santibanez Pac Idaho was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Santibanez Pac Idaho · NPI 1346015948
Geriatric Medicine organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since November 24, 2023.
## Identity
- **NPI:** 1346015948 (Entity type: Organization)
- **Enumerated:** November 24, 2023
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **Organization subpart:** No
- **Authorized official:** Julie Roser, VP OF OPERATIONS
## Practice location
- **Address:** 840 E ELVA ST, Idaho Falls, ID 83401-2801
- **Phone:** (208) 523-4795
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 25 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Internal Medicine (6), Hospitalist (2); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1346015948/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1346015948) · Data from the CMS NPPES public registry.