VISTA HEALTHCARE PC
NPI 1720502370
Clinic/Center - Primary Care in Rexburg, ID
About Vista Healthcare Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISTA HEALTHCARE PC (NPI 1720502370) is a healthcare organization registered as a primary care in Rexburg, Idaho and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Rachelle Jones, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Identifiers 1
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)
Vista Healthcare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Vista Healthcare PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 13D2135696
Vista Health Care · Rexburg, IDFrequently 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 Vista Healthcare PC's NPI number?
The NPI number for Vista Healthcare PC is 1720502370. It was assigned to this organization in the NPPES registry on July 26, 2017.
Where is Vista Healthcare PC located?
Vista Healthcare PC is located at 556 Trejo St Ste B, Rexburg, ID 83440. The listed phone number is (208) 351-6981.
What is Vista Healthcare PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Vista Healthcare PC enrolled in Medicare?
Yes. Vista Healthcare PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vista Healthcare PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vista Healthcare PC. 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vista Healthcare PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2135696) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Vista Healthcare PC accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Vista Healthcare PC 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 Vista Healthcare PC was last updated on November 17, 2017. 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.
# Vista Healthcare Pc · NPI 1720502370
Primary Care organization in Rexburg, Idaho. Organization record, active in the CMS NPPES registry since July 26, 2017.
## Identity
- **NPI:** 1720502370 (Entity type: Organization)
- **Enumerated:** July 26, 2017
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Rachelle Jones, PRESIDENT
## Practice location
- **Address:** 556 TREJO ST STE B, Rexburg, ID 83440-2626
- **Phone:** (208) 351-6981
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2017
- **Other identifiers:** Medicaid 1982830345 (ID)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720502370) · Data from the CMS NPPES public registry.