IDAHO STATE UNIVERSITY
NPI 1487245122
Nutritionist - Nutrition, Education in Meridian, ID
About Idaho State University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDAHO STATE UNIVERSITY (NPI 1487245122), doing business as Isu Nutrition Clinic, is a healthcare organization registered as a nutrition, education in Meridian, Idaho and active in the NPI registry since January 2021. The organization lists Cynthia Lee Rock, Clinics Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Idaho State University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
45Medicare enrollment records show 45 clinicians reassign Medicare billing to Idaho State University, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 45Source: 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 Idaho State University's NPI number?
The NPI number for Idaho State University is 1487245122. It was assigned to this organization in the NPPES registry on January 26, 2021. The provider is doing business as ISU Nutrition Clinic.
Where is Idaho State University located?
Idaho State University is located at 1311 E Central Dr, Meridian, ID 83642. The listed phone number is (208) 373-1926.
What is Idaho State University's specialty?
The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.
Is Idaho State University enrolled in Medicare?
Yes. Idaho State University is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Idaho State University?
According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 11 Medicare specialties reassign their Medicare billing to Idaho State University. 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. The largest specialties are Psychiatry (12), Qualified Audiologist (11) and Physical Therapist in Private Practice (7). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Idaho State University was last updated on January 26, 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.
# Idaho State University · NPI 1487245122
Nutrition, Education organization in Meridian, Idaho. Organization record, active in the CMS NPPES registry since January 26, 2021.
## Identity
- **NPI:** 1487245122 (Entity type: Organization)
- **Enumerated:** January 26, 2021
- **Primary specialty:** Nutritionist - Nutrition, Education · taxonomy 133NN1002X
- **Also known as:** ISU Nutrition Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Cynthia Rock, CLINICS DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 1311 E CENTRAL DR, Meridian, ID 83642-7991
- **Phone:** (208) 373-1926 · **Fax:** (833) 499-1813
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 45 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (12), Qualified Audiologist (11), Physical Therapist in Private Practice (7); 1 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1487245122/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1487245122) · Data from the CMS NPPES public registry.