MOUNTAIN WEST MEDICAL SERVICES PLLC
NPI 1457894339
Clinic/Center - Primary Care in Meridian, ID
About Mountain West Medical Services Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAIN WEST MEDICAL SERVICES PLLC (NPI 1457894339) is a healthcare organization registered as a primary care in Meridian, Idaho and active in the NPI registry since November 2016. The organization lists John Kenneth Mcrae, Dr. Of Nurse Practioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mountain West Medical Services 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 Mountain West Medical Services 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 Mountain West Medical Services PLLC's NPI number?
The NPI number for Mountain West Medical Services PLLC is 1457894339. It was assigned to this organization in the NPPES registry on November 28, 2016.
Where is Mountain West Medical Services PLLC located?
Mountain West Medical Services PLLC is located at 1067 S Wells St Suite#110, Meridian, ID 83642. The listed phone number is (208) 229-8739.
What is Mountain West Medical Services PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Mountain West Medical Services PLLC enrolled in Medicare?
Yes. Mountain West Medical Services PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mountain West Medical Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mountain West Medical Services 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.
When was this NPI record last updated?
The NPPES record for Mountain West Medical Services PLLC was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mountain West Medical Services Pllc · NPI 1457894339
Primary Care organization in Meridian, Idaho. Organization record, active in the CMS NPPES registry since November 28, 2016.
## Identity
- **NPI:** 1457894339 (Entity type: Organization)
- **Enumerated:** November 28, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** John Mcrae, DR. OF NURSE PRACTIONER
## Practice location
- **Address:** 1067 S WELLS ST, SUITE#110, Meridian, ID 83642-7997
- **Phone:** (208) 229-8739 · **Fax:** (208) 895-8540
## 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:** July 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1457894339) · Data from the CMS NPPES public registry.