GRITMAN MEDICAL CENTER, INC.
NPI 1538634522
Family Medicine in Moscow, ID
About Gritman Medical Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRITMAN MEDICAL CENTER, INC. (NPI 1538634522), doing business as Moscow Family Medicine, is a healthcare organization registered as a family medicine in Moscow, Idaho and active in the NPI registry since October 2018. The organization holds an CLIA Accreditation certificate valid through November 24, 2027, maintains a secondary practice location in Moscow, and lists Kara Besst, Ceo/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 4
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gritman Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Gritman Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 28Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 13D0938809
Gritman Medical Center Inc Dba Moscow Family Medicine Quickcare Laboratory · Moscow, IDFrequently 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 Gritman Medical Center, Inc.'s NPI number?
The NPI number for Gritman Medical Center, Inc. is 1538634522. It was assigned to this organization in the NPPES registry on October 5, 2018. The provider is doing business as Moscow Family Medicine, Moscow Family Medicine Clinic, Moscow Family Medicine QuickCare and Moscow Family Medicine Westside.
Where is Gritman Medical Center, Inc. located?
Gritman Medical Center, Inc. is located at 623 S Main St Ste 1, Moscow, ID 83843. The listed phone number is (208) 882-2011.
What is Gritman Medical Center, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gritman Medical Center, Inc. enrolled in Medicare?
Yes. Gritman Medical Center, Inc. is registered in the Medicare PECOS enrollment system.
When is Gritman Medical Center, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Idaho, Rural Health Clinic) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Gritman Medical Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 9 Medicare specialties reassign their Medicare billing to Gritman Medical Center, Inc.. 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 Family Practice (13), Nurse Practitioner (5) and Clinical Social Worker (2). Of these, 6 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gritman Medical Center, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 13D0938809) is associated with this NPI, valid through November 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Gritman Medical Center, Inc. was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.
# Gritman Medical Center, Inc. · NPI 1538634522
Family Medicine organization in Moscow, Idaho. Organization record, active in the CMS NPPES registry since October 5, 2018.
## Identity
- **NPI:** 1538634522 (Entity type: Organization)
- **Enumerated:** October 5, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Moscow Family Medicine (Doing Business As); Moscow Family Medicine Clinic (Doing Business As); Moscow Family Medicine QuickCare (Doing Business As); and 1 more
- **Organization subpart:** Yes (part of Gritman Medical Center, Inc.)
- **Authorized official:** Kara Besst, CEO/PRESIDENT
## Practice location
- **Address:** 623 S MAIN ST STE 1, Moscow, ID 83843-3042
- **Phone:** (208) 882-2011 · **Fax:** (208) 883-1853
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Part A, Idaho, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 28 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (13), Nurse Practitioner (5), Clinical Social Worker (2); 6 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1538634522/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2026
- **Other identifiers:** Other 39 (ID)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1538634522) · Data from the CMS NPPES public registry.