HEALTHY HORIZONS HEALTHCARE PC
NPI 1366254047
Nurse Practitioner - Family in Pocatello, ID

Active since January 21, 2025CLIA 13D2322893 · Waiver
333 W CEDAR ST, POCATELLO, ID 83201(208) 251-3701 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Healthy Horizons Healthcare Pc NPPES

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

HEALTHY HORIZONS HEALTHCARE PC (NPI 1366254047) is a healthcare organization registered as a family in Pocatello, Idaho and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Kelli Fries-geslin, Owner, as its authorized official.

NPPES Registry Identity

NPI1366254047
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEALTHY HORIZONS HEALTHCARE PC
Location Address333 W CEDAR STPocatello, ID 83201-5045
Mailing Address333 W Cedar StPocatello, ID 83201-5045 · (208) 251-3701
Organization SubpartNo
Authorized OfficialKelli Fries-geslinOwner · (208) 251-3701
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1366254047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
333 W CEDAR ST, Pocatello, ID 83201

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Healthy Horizons Healthcare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Healthy Horizons Healthcare PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1518415942
333 W CEDAR ST
Pocatello, ID 83201
(208) 904-4818
✔ PECOSSame address
Nurse Practitioner
NPI 1902456262
415 N 3RD AVE STE B
Pocatello, ID 83201
(208) 646-4165
✔ PECOS1.8 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2322893

Healthy Horizons Healthcare PC · Pocatello, ID
Active · expires Apr 28, 2027
CLIA Number13D2322893
Laboratory TypePractitioner Other
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorKelli Fries-Geslin
Laboratory Phone(208) 904-4818
Laboratory LocationHealthy Horizons Healthcare PC333 W Cedar St, Pocatello, ID 83201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Healthy Horizons Healthcare PC's NPI number?

The NPI number for Healthy Horizons Healthcare PC is 1366254047. It was assigned to this organization in the NPPES registry on January 21, 2025.

Where is Healthy Horizons Healthcare PC located?

Healthy Horizons Healthcare PC is located at 333 W Cedar St, Pocatello, ID 83201. The listed phone number is (208) 251-3701.

What is Healthy Horizons Healthcare PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Healthy Horizons Healthcare PC enrolled in Medicare?

Yes. Healthy Horizons Healthcare PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthy Horizons Healthcare PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Healthy Horizons Healthcare PC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Healthy Horizons Healthcare PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2322893) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Healthy Horizons Healthcare PC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Healthy Horizons Healthcare PC 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 Healthy Horizons Healthcare PC was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.