DR. JONATHAN WALDEN HOUSLEY MD
NPI 1457382244
Family Medicine in Soda Springs, ID

Q: What is Jonathan Housley's NPI number?

The NPI number for Jonathan Housley is 1457382244. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Jonathan Housley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Housley was last updated on June 8, 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.

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment

300 S 3RD W, SODA SPRINGS, ID 83276(208) 547-4961(208) 547-3781 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 12, 2022, Feb 8, 2022 (2 updates tracked since 2022).

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About Dr. Jonathan Walden Housley Md NPPES

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

DR. JONATHAN WALDEN HOUSLEY MD (NPI 1457382244) is an individual family medicine provider in Soda Springs, Idaho, licensed in Idaho (M-9862) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of New York Medical College (2003).

NPPES Registry Identity

NPI1457382244

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JONATHAN WALDEN HOUSLEYCredential: MD

Location Address300 S 3RD WSoda Springs, ID 83276-1559

Mailing Address300 S 3rd WSoda Springs, ID 83276-1559 · (208) 547-3341 · Fax (208) 547-2790

Phone(208) 547-4961

Fax(208) 547-3781

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2003

Enumeration DateJuly 6, 2006

Last NPPES UpdateJune 8, 20262 updates tracked since enumeration

NPPES CertifiedJune 8, 2026

✔ NPI 1457382244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M-9862

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.

300 S 3RD W, Soda Springs, ID 83276

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Other Identifiers 1

Medicaid1285970582ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Walden Housley Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749285393

PECOS Enrollment IDI20080207000147

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Housley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Caribou Medical Center, Inc

Same address

Critical Access

300 S 3RD W
Soda Springs, ID 83276

Reassigned Medicare billing, Idaho enrollment
Also billed through NPI 1548930878 (Idaho)
44 clinicians in this Medicare group

NPI 1942970272 (208) 547-3341

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

236 services102 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

196 services107 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

90 services90 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

52 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

28 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID

4/5 CMS rating

OwnershipProprietary

CMS Certification Number130028

Location777 Hospital WayPocatello, ID 83201 · Bannock County

Emergency services Birthing friendly

Caribou Medical Center

Critical Access Hospitals · Soda Springs, ID

OwnershipGovernment - Local

CMS Certification Number131309

Location300 South 3rd WestSoda Springs, ID 83276 · Caribou County

Emergency services

Bear Lake Memorial Hospital

Critical Access Hospitals · Montpelier, ID

OwnershipGovernment - Local

CMS Certification Number131316

Location164 South Fifth StreetMontpelier, ID 83254 · Bear Lake County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83276 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers14 claims14 services$38.47 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers18 claims18 services$105.67 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers16 claims43 services$44.30 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers12 claims12 services$25.12 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers16 claims88 services$2.93 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers37 claims37 services$19.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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