PREVENTATIVE HEALTH
NPI 1922377027
Nurse Practitioner - Family in Eagle, ID

Active since December 19, 2011
531 S FITNESS PL STE 100, EAGLE, ID 83616(208) 853-2273 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Preventative Health NPPES

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

PREVENTATIVE HEALTH (NPI 1922377027) is a healthcare organization registered as a family in Eagle, Idaho and active in the NPI registry since December 2011. The organization lists Danielle Bennion, Owner, as its authorized official.

NPPES Registry Identity

NPI1922377027
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePREVENTATIVE HEALTH
Location Address531 S FITNESS PL STE 100Eagle, ID 83616-6552
Mailing Address531 S Fitness Pl, 100Eagle, ID 83616-6552 · (208) 853-2273
Organization SubpartNo
Authorized OfficialDanielle BennionOwner · (208) 853-2273
Enumeration DateDecember 19, 2011
Last NPPES UpdateApril 10, 2017
✔ NPI 1922377027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
531 S FITNESS PL STE 100, Eagle, ID 83616

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Preventative Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20120620000481Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Preventative Health, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1891176798
63 W WILLOWBROOK DR
Meridian, ID 83646
(208) 888-7877
✔ PECOS5.3 mi
Nurse Practitioner
NPI 1710386396
207 1ST ST S
Nampa, ID 83651
(208) 466-7869
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1891703070
507 S MAIN ST
Hailey, ID 83333
(208) 788-4122
✔ PECOS103 mi
Nurse Practitioner
NPI 1366982621
476 CHENEY DR W SUITE 160
Twin Falls, ID 83301
(208) 944-0497
✔ PECOS121 mi
Nurse Practitioner
NPI 1992030928
492 DANTE VILLA ST
Henderson, NV 89011
(208) 251-2524
✔ PECOS531 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Preventative Health's NPI number?

The NPI number for Preventative Health is 1922377027. It was assigned to this organization in the NPPES registry on December 19, 2011.

Where is Preventative Health located?

Preventative Health is located at 531 S Fitness Pl Ste 100, Eagle, ID 83616. The listed phone number is (208) 853-2273.

What is Preventative Health's specialty?

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

Is Preventative Health enrolled in Medicare?

Yes. Preventative Health is registered in the Medicare PECOS enrollment system.

When is Preventative Health's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Preventative Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Preventative Health. 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 (4) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Preventative Health accept?

Health plans from Moda Health Plan, Inc. list Preventative Health 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 Preventative Health was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.