JARED WILLIAM RICKABAUGH APRN, FNP-C
NPI 1649753740
Nurse Practitioner - Family in Idaho Falls, ID

Q: What is Jared Rickabaugh's NPI number?

The NPI number for Jared Rickabaugh is 1649753740. It was assigned to this individual provider in the NPPES registry on September 13, 2018.

Q: What is Jared Rickabaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jared Rickabaugh was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 13, 2018PECOS Enrolled

2375 E SUNNYSIDE RD STE J, IDAHO FALLS, ID 83404(208) 542-7060 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jared William Rickabaugh Aprn, Fnp-c NPPES

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

JARED WILLIAM RICKABAUGH APRN, FNP-C (NPI 1649753740) is an individual family provider in Idaho Falls, Idaho, licensed in Idaho (59690) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Shelley.

NPPES Registry Identity

NPI1649753740

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJARED WILLIAM RICKABAUGHCredential: APRN, FNP-C

Location Address2375 E SUNNYSIDE RD STE JIdaho Falls, ID 83404-8281

Mailing Address1551 N 700 EShelley, ID 83274-5006 · (208) 541-3140

Phone(208) 542-7060

Sole ProprietorNo

Enumeration DateSeptember 13, 2018

✔ NPI 1649753740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · 59690

2375 E SUNNYSIDE RD STE J, Idaho Falls, ID 83404

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Secondary Practice Location 1

Location 11551 N 700 EShelley, ID 83274-5006 · Phone (208) 541-3140

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared William Rickabaugh Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$16.51 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$2.52 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims18 services$94.21 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers17 claims17 services$34.08 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers12 claims12 services$183.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIGH VALLEY DERMATOLOGY & DERMATOLOGIC SURGERY, PC

Dermatology (MOHS-Micrographic Surgery)