BONNERS FERRY FAMILY MEDICINE, PLLC
NPI 1922152537
Clinic/Center - Rural Health in Bonners Ferry, ID

Active since January 22, 2007CLIA 13D1068553 · Microscopy
6488 CHINOOK ST, BONNERS FERRY, ID 83805(208) 946-0572 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bonners Ferry Family Medicine, Pllc NPPES

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

BONNERS FERRY FAMILY MEDICINE, PLLC (NPI 1922152537) is a healthcare organization registered as a rural health in Bonners Ferry, Idaho and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through May 14, 2027 and lists Troy Geyman, Manager, as its authorized official.

NPPES Registry Identity

NPI1922152537
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBONNERS FERRY FAMILY MEDICINE, PLLC
Location Address6488 CHINOOK STBonners Ferry, ID 83805-9517
Mailing AddressPo Box 208Bonners Ferry, ID 83805-0208 · (208) 267-1788
Organization SubpartNo
Authorized OfficialTroy GeymanManager · (208) 267-1788
Enumeration DateJanuary 22, 2007
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
✔ NPI 1922152537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License M8544 (ID)
6488 CHINOOK ST, Bonners Ferry, ID 83805

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 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)

Bonners Ferry Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Bonners Ferry Family Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Family Practice
NPI 1407847379
6488 CHINOOK ST
Bonners Ferry, ID 83805
(208) 267-8710
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922548494
6488 CHINOOK ST
Bonners Ferry, ID 83805
(208) 267-8710
✔ PECOSSame address
Clinical Social Worker
NPI 1649261538
6488 CHINOOK ST
Bonners Ferry, ID 83805
(208) 267-8710
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1063974871
6640 KANIKSU ST
Bonners Ferry, ID 83805
(208) 267-3141
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1033665278
2023 MOON SHADOW RD
Bonners Ferry, ID 83805
(208) 255-9073
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1396417150
66576 HIGHWAY 2
Bonners Ferry, ID 83805
(208) 610-7566
✔ PECOS✔ Accepts Medicare8.7 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 13D1068553

Bonners Ferry Family Medicine · Bonners Ferry, ID
Active · expires May 14, 2027
CLIA Number13D1068553
Laboratory TypePhysician Office
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorTroy Geyman
Laboratory Phone(208) 267-8710
Laboratory LocationBonners Ferry Family Medicine6488 Chinook St, Bonners Ferry, ID 83805
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Bonners Ferry Family Medicine, PLLC's NPI number?

The NPI number for Bonners Ferry Family Medicine, PLLC is 1922152537. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Bonners Ferry Family Medicine, PLLC located?

Bonners Ferry Family Medicine, PLLC is located at 6488 Chinook St, Bonners Ferry, ID 83805. The listed phone number is (208) 946-0572.

What is Bonners Ferry Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Bonners Ferry Family Medicine, PLLC enrolled in Medicare?

Yes. Bonners Ferry Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bonners Ferry Family Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Bonners Ferry Family Medicine, PLLC. 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. The largest specialties are Nurse Practitioner (3), Clinical Social Worker (1) and Family Practice (1). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bonners Ferry Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D1068553) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bonners Ferry Family Medicine, PLLC accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Bonners Ferry Family Medicine, PLLC 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 Bonners Ferry Family Medicine, PLLC was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.