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ROOT CAUSE INTEGRATIVE MEDICINE LLC
NPI 1447718853
Family Medicine in Ammon, ID

Active since March 05, 2019
1547 S MIDWAY AVE, SUITE B, AMMON, ID 83406(208) 497-0429(208) 497-0430 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2019, Mar 5, 2019 (2 updates tracked since 2019).

About Root Cause Integrative Medicine Llc NPPES

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

ROOT CAUSE INTEGRATIVE MEDICINE LLC (NPI 1447718853) is a healthcare organization registered as a family medicine in Ammon, Idaho and active in the NPI registry since March 2019. The organization lists Jordan Neil Hale, Co-owner/ Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1447718853
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROOT CAUSE INTEGRATIVE MEDICINE LLC
Location Address1547 S MIDWAY AVE, SUITE BAmmon, ID 83406
Mailing Address1547 S Midway Ave, Suite BAmmon, ID 83406 · (208) 497-0429 · Fax (208) 497-0430
Phone(208) 497-0429
Fax(208) 497-0430
Organization SubpartNo
Authorized OfficialJordan Neil HaleCo-owner/ Physician Assistant · (650) 933-6384
Enumeration DateMarch 5, 2019
Last NPPES UpdateApril 10, 20192 updates tracked since enumeration
✔ NPI 1447718853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1547 S MIDWAY AVE, Ammon, ID 83406
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Other Identifiers 1

Medicaid1396110169ID

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

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.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)

Root Cause Integrative Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Root Cause Integrative Medicine LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Laura Scott, NP-C
Nurse Practitioner
NPI 1679180244
1547 MIDWAY AVE SUITE B
Ammon, ID 83406
(208) 497-0429
✔ PECOS✔ Accepts MedicareSame address
Joanne Pond, FNP-C
Nurse Practitioner
NPI 1134933450
1547 MIDWAY AVE
Ammon, ID 83406
(209) 872-0707
✔ PECOS✔ Accepts MedicareSame address
Julie Thomas, APRN-CNP
Nurse Practitioner
NPI 1649125279
1547 MIDWAY AVE
Ammon, ID 83406
(208) 497-0429
✔ PECOS✔ Accepts MedicareSame address

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 Root Cause Integrative Medicine LLC's NPI number?

The NPI number for Root Cause Integrative Medicine LLC is 1447718853. It was assigned to this organization in the NPPES registry on March 5, 2019.

Where is Root Cause Integrative Medicine LLC located?

Root Cause Integrative Medicine LLC is located at 1547 S Midway Ave Suite B, Ammon, ID 83406. The listed phone number is (208) 497-0429.

What is Root Cause Integrative Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Root Cause Integrative Medicine LLC enrolled in Medicare?

Yes. Root Cause Integrative Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Root Cause Integrative Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Root Cause Integrative Medicine LLC. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Root Cause Integrative Medicine LLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Root Cause Integrative Medicine LLC 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 Root Cause Integrative Medicine LLC was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.