IDEALSPINE HEALTH CENTER
NPI 1639429541
Chiropractor - Rehabilitation in Eagle, ID

Active since September 18, 2012
950 E RIVERSIDE DR, EAGLE, ID 83616(208) 939-2502 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Idealspine Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDEALSPINE HEALTH CENTER (NPI 1639429541) is a healthcare organization registered as a rehabilitation in Eagle, Idaho and active in the NPI registry since September 2012. The organization lists Shirlene Harrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1639429541
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NameIDEALSPINE HEALTH CENTER
Location Address950 E RIVERSIDE DREagle, ID 83616-6020
Mailing Address950 E Riverside DrEagle, ID 83616-6020 · (208) 939-2502
Organization SubpartNo
Authorized OfficialShirlene HarrisonOwner · (208) 939-2502
Enumeration DateSeptember 18, 2012
Last NPPES UpdateFebruary 21, 2013
✔ NPI 1639429541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
License✔ Licensed in ID · CHIA-1168
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
950 E RIVERSIDE DR, Eagle, ID 83616

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idealspine Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Idealspine Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1982090403
950 E RIVERSIDE DR
Eagle, ID 83616
(208) 939-2502
Same address
Chiropractic
NPI 1801803754
123 2ND ST
Elko, NV 89801
(775) 777-3033
200 mi

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 Idealspine Health Center's NPI number?

The NPI number for Idealspine Health Center is 1639429541. It was assigned to this organization in the NPPES registry on September 18, 2012.

Where is Idealspine Health Center located?

Idealspine Health Center is located at 950 E Riverside Dr, Eagle, ID 83616. The listed phone number is (208) 939-2502.

What is Idealspine Health Center's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Idealspine Health Center enrolled in Medicare?

Yes. Idealspine Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idealspine Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Idealspine Health Center. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Idealspine Health Center accept?

Health plans from Moda Health Plan, Inc. list Idealspine Health Center 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 Idealspine Health Center was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.