UPPER VALLEY FAMILY PRACTICE, PLLC
NPI 1922237874
Family Medicine in Rexburg, ID

Active since July 13, 2009CLIA 13D1040809 · Microscopy
32 W 1ST S, REXBURG, ID 83440(208) 356-8883(208) 656-0292 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Upper Valley Family Practice, Pllc NPPES

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

UPPER VALLEY FAMILY PRACTICE, PLLC (NPI 1922237874) is a healthcare organization registered as a family medicine in Rexburg, Idaho and active in the NPI registry since July 2009. The organization holds a CLIA Microscopy certificate valid through May 17, 2027 and lists Jeffrey G Hopkin, Owner/ Physican, as its authorized official.

NPPES Registry Identity

NPI1922237874
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUPPER VALLEY FAMILY PRACTICE, PLLC
Location Address32 W 1ST SRexburg, ID 83440-1810
Mailing Address32 W 1st SRexburg, ID 83440-1810 · (208) 356-8883 · Fax (208) 656-0292
Fax(208) 656-0292
Organization SubpartNo
Authorized OfficialJeffrey G HopkinOwner/ Physican · (208) 356-8883
Enumeration DateJuly 13, 2009
Last NPPES UpdateApril 19, 2018
✔ NPI 1922237874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M-6910
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
32 W 1ST S, Rexburg, ID 83440

Other Identifiers 1

Medicaid003727500ID

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)

Upper Valley Family Practice, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Upper Valley Family Practice, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1780797712
32 W 1ST S
Rexburg, ID 83440
(208) 356-8883
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669853719
30 W MAIN ST
Saint Anthony, ID 83445
(208) 624-2969
✔ PECOS✔ Accepts Medicare11 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) 13D1040809

Upper Valley Family Practice · Rexburg, ID
Active · expires May 17, 2027
CLIA Number13D1040809
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorJeffrey G. Hopkin
Laboratory Phone(208) 356-8883
Laboratory LocationUpper Valley Family Practice32 W 1st S, Rexburg, ID 83440
CLIA data matches this NPI record on: Address Name Phone
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 Upper Valley Family Practice, PLLC's NPI number?

The NPI number for Upper Valley Family Practice, PLLC is 1922237874. It was assigned to this organization in the NPPES registry on July 13, 2009.

Where is Upper Valley Family Practice, PLLC located?

Upper Valley Family Practice, PLLC is located at 32 W 1st S, Rexburg, ID 83440. The listed phone number is (208) 356-8883.

What is Upper Valley Family Practice, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Upper Valley Family Practice, PLLC enrolled in Medicare?

Yes. Upper Valley Family Practice, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upper Valley Family Practice, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Upper Valley Family Practice, PLLC, in Family Practice and Nurse Practitioner. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Upper Valley Family Practice, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D1040809) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Upper Valley Family Practice, PLLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Upper Valley Family Practice, 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 Upper Valley Family Practice, PLLC was last updated on April 19, 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.