1. Home
  2. Directory
  3. Idaho
  4. Pocatello
  5. Nurse Practitioner
  6. NPI Profile

DR. RENEE GAULT DNP, PMHNP-BC
NPI 1912489980
Nurse Practitioner - Psychiatric/Mental Health in Pocatello, ID

Active since September 05, 2018PECOS Enrolled
444 HOSPITAL WAY STE 477, POCATELLO, ID 83201(208) 233-7832(208) 233-7835 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2018, Sep 5, 2018 (2 updates tracked since 2018).

About Dr. Renee Gault Dnp, Pmhnp-bc NPPES

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

DR. RENEE GAULT DNP, PMHNP-BC (NPI 1912489980) is an individual psychiatric/mental health provider in Pocatello, Idaho, licensed in Idaho (59582) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912489980
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. RENEE GAULTCredential: DNP, PMHNP-BC
Location Address444 HOSPITAL WAY STE 477Pocatello, ID 83201-2744
Mailing Address444 Hospital Way Ste 477Pocatello, ID 83201-2744 · (208) 233-7832 · Fax (208) 233-7835
Phone(208) 233-7832
Fax(208) 233-7835
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 5, 2018
Last NPPES UpdateNovember 21, 20182 updates tracked since enumeration
✔ NPI 1912489980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 59582
444 HOSPITAL WAY STE 477, Pocatello, ID 83201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, PacificSource Health Plans, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Renee Gault Dnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123366259
PECOS Enrollment IDI20260512001105
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 Renee Gault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Counseling LLC
1,790 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Idaho enrollment
  • 6 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

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 83201 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.

Other Providers at the Same Location NPPES 18

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

MRS. AMBER CAROLYNN MALAY BS
Case Manager/Care Coordinator
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832
BECKY LOBO
Social Worker
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 236-1600
ROBERT ANDREW DE WALL LCPC
Counselor (Professional)
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832
PORTNEUF VALLEY FAMILY CENTER
Counselor (Professional)
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832
KELLY LIND
Social Worker
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832
OLIVIA THERESA NGADJUI LPC
Counselor (Professional)
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832
TRINETY LYNN CAMPBELL LCSW
Social Worker (Clinical)
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832
COLLETTE CARTER GREGERSEN LPC
Counselor (Professional)
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201
Bannock County (208) 233-7832

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 Renee Gault's NPI number?

The NPI number for Renee Gault is 1912489980. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Where is Renee Gault located?

Renee Gault practices at 444 Hospital Way Ste 477, Pocatello, ID 83201. The listed phone number is (208) 233-7832.

What is Renee Gault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Renee Gault enrolled in Medicare?

Yes. Renee Gault is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Renee Gault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renee Gault reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). 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 Renee Gault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Renee Gault accept?

Health plans from Blue Cross Blue Shield of Wyoming, PacificSource Health Plans and Select Health list Renee Gault 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 Renee Gault was last updated on November 21, 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.