AUTUMN LEAVES PSYCHIATRY, PLLC
NPI 1396326096
Clinic/Center - Mental Health (Including Community Mental Health Center) in Idaho Falls, ID
About Autumn Leaves Psychiatry, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN LEAVES PSYCHIATRY, PLLC (NPI 1396326096) is a healthcare organization registered as a mental health (including community mental health center) in Idaho Falls, Idaho and active in the NPI registry since April 2021. The organization lists Merjurie F Ricklefs, Psychiatric Nurse Practitioner, 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)
Autumn Leaves Psychiatry, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Autumn Leaves Psychiatry, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Autumn Leaves Psychiatry, PLLC's NPI number?
The NPI number for Autumn Leaves Psychiatry, PLLC is 1396326096. It was assigned to this organization in the NPPES registry on April 15, 2021.
Where is Autumn Leaves Psychiatry, PLLC located?
Autumn Leaves Psychiatry, PLLC is located at 3670 S 25th E Ste 4, Idaho Falls, ID 83404. The listed phone number is (208) 821-0357.
What is Autumn Leaves Psychiatry, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Autumn Leaves Psychiatry, PLLC enrolled in Medicare?
Yes. Autumn Leaves Psychiatry, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Autumn Leaves Psychiatry, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Autumn Leaves Psychiatry, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Autumn Leaves Psychiatry, PLLC accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Autumn Leaves Psychiatry, PLLC 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 Autumn Leaves Psychiatry, PLLC was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Autumn Leaves Psychiatry, Pllc · NPI 1396326096
Mental Health (Including Community Mental Health Center) organization in Idaho Falls, Idaho. Organization record, active in the CMS NPPES registry since April 15, 2021.
## Identity
- **NPI:** 1396326096 (Entity type: Organization)
- **Enumerated:** April 15, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Merjurie Ricklefs, PSYCHIATRIC NURSE PRACTITIONER
## Practice location
- **Address:** 3670 S 25TH E STE 4, Idaho Falls, ID 83404-4956
- **Phone:** (208) 821-0357
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1396326096) · Data from the CMS NPPES public registry.