JERITH TIM WREN DO
NPI 1588366017
Student in an Organized Health Care Education/Training Program in Idaho Falls, ID
About Jerith Tim Wren Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERITH TIM WREN DO (NPI 1588366017) is an individual student in an organized health care education/training program in Idaho Falls, Idaho and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Jerith Tim Wren Do 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 Jerith Wren reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Idaho Falls, ID 83404
- Reassigned Medicare billing, Idaho enrollment
- 298 clinicians in this Medicare group
Idaho Falls, ID 83402
- Reassigned Medicare billing, Idaho enrollment
- 38 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mountain View Hospital
Acute Care Hospitals · Idaho Falls, IDOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
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 Jerith Wren's NPI number?
The NPI number for Jerith Wren is 1588366017. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Jerith Wren located?
Jerith Wren practices at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 973-2144.
What is Jerith Wren's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jerith Wren enrolled in Medicare?
Yes. Jerith Wren 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 Jerith Wren's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerith Wren reassigns Medicare benefits to 2 organizations: Mountain View Hospital LLC (Idaho Falls, ID) and Community Care West Side LLC (Idaho Falls, ID). 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 Jerith Wren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerith Wren accept?
Health plans from Molina Healthcare, PacificSource Health Plans, Select Health and University of Utah Health Plans list Jerith Wren 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.
Is Jerith Wren affiliated with any hospitals?
According to CMS data, Jerith Wren is affiliated with Mountain View Hospital.
When was this NPI record last updated?
The NPPES record for Jerith Wren was last updated on March 20, 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.
# Jerith Tim Wren, DO · NPI 1588366017
Student in an Organized Health Care Education/Training Program provider in Idaho Falls, Idaho. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1588366017 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3100 CHANNING WAY, Idaho Falls, ID 83404-7533
- **Phone:** (208) 973-2144
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mountain View Hospital LLC (NPI 1669462362, Idaho Falls, ID); Community Care West Side LLC (NPI 1295009785, Idaho Falls, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1588366017) · Data from the CMS NPPES public registry.