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

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: October 18, 2026.

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., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jared Rickabaugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain View Hospital LLC
0.4 mi
General Acute Care Hospital
2325 CORONADO ST
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 298 clinicians in this Medicare group
NPI 1669462362 (208) 557-2700

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.

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.

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)
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 525-4888
S. ALBERTSON DERMATOLOGY AND SKIN CANCER CENTER LLC
Dermatology (MOHS-Micrographic Surgery)
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 589-3918
MATTHEW R NELSON PA C
Physician Assistant
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 522-7246
MANUAL SOLUTIONS PLLC
Physical Therapist
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 206-4633
PAIN SPECIALISTS OF IDAHO
Anesthesiology (Pain Medicine)
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404
Bonneville County (208) 522-7246

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 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.

Where is Jared Rickabaugh located?

Jared Rickabaugh practices at 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404. The listed phone number is (208) 542-7060.

What is Jared Rickabaugh's specialty?

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

Is Jared Rickabaugh enrolled in Medicare?

Yes. Jared Rickabaugh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jared Rickabaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Rickabaugh reassigns Medicare benefits to Mountain View Hospital LLC (Idaho Falls, ID). The 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 Jared Rickabaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Rickabaugh accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer list Jared Rickabaugh 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 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 8 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.