MARY RACHEL PIRKLE CNM
NPI 1568028249
Advanced Practice Midwife in Idaho Falls, ID
About Mary Rachel Pirkle Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY RACHEL PIRKLE CNM (NPI 1568028249) is an individual advanced practice midwife in Idaho Falls, Idaho, licensed in Idaho (67242) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted 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
Mary Rachel Pirkle Cnm 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Pirkle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Taos, NM 87571
- Reassigned Medicare billing, New Mexico enrollment
- 399 clinicians in this Medicare group
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 554 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IDAHO FALLS, ID 83404
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 Mary Pirkle's NPI number?
The NPI number for Mary Pirkle is 1568028249. It was assigned to this individual provider in the NPPES registry on May 17, 2019.
Where is Mary Pirkle located?
Mary Pirkle practices at 1550 Elk Creek Dr, Idaho Falls, ID 83404. The listed phone number is (208) 529-5942.
What is Mary Pirkle's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Mary Pirkle enrolled in Medicare?
Yes. Mary Pirkle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Pirkle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Pirkle reassigns Medicare benefits to 2 organizations: St. Vincent Hospital (Taos, NM) and Southwest Medical Associates, LLC (Albuquerque, NM). Each 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 Mary Pirkle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Pirkle accept?
Health plans from Providence Health Plan and Select Health list Mary Pirkle 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 Mary Pirkle was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mary Rachel Pirkle, CNM · NPI 1568028249
Advanced Practice Midwife physician in Idaho Falls, Idaho. Individual provider, active in the CMS NPPES registry since May 17, 2019.
## Identity
- **NPI:** 1568028249 (Entity type: Individual)
- **Enumerated:** May 17, 2019
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 67242 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1550 ELK CREEK DR, Idaho Falls, ID 83404-8322
- **Phone:** (208) 529-5942 · **Fax:** (208) 529-5951
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Vincent Hospital (NPI 1265790216, Taos, NM); Southwest Medical Associates, LLC (NPI 1164491072, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1568028249) · Data from the CMS NPPES public registry.