CHERRY HEIGHTS FAMILY CLINIC LLC
NPI 1952078115
Family Medicine in Meridian, ID
About Cherry Heights Family Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHERRY HEIGHTS FAMILY CLINIC LLC (NPI 1952078115) is a healthcare organization registered as a family medicine in Meridian, Idaho and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Tahlia Dennis, Delegated Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Cherry Heights Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Cherry Heights Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
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 13D2102380
Cherry Heights Family Clinic · Meridian, 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 Cherry Heights Family Clinic LLC's NPI number?
The NPI number for Cherry Heights Family Clinic LLC is 1952078115. It was assigned to this organization in the NPPES registry on August 25, 2021.
Where is Cherry Heights Family Clinic LLC located?
Cherry Heights Family Clinic LLC is located at 1560 N Crestmont Dr Ste A, Meridian, ID 83642. The listed phone number is (208) 650-4888.
What is Cherry Heights Family Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cherry Heights Family Clinic LLC enrolled in Medicare?
Yes. Cherry Heights Family Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cherry Heights Family Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Cherry Heights Family Clinic LLC. 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 (9), Chiropractic (1) and Family Practice (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cherry Heights Family Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2102380) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cherry Heights Family Clinic LLC accept?
Health plans from Moda Health Plan, Inc. and Molina Healthcare list Cherry Heights Family Clinic LLC 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 Cherry Heights Family Clinic LLC was last updated on November 1, 2024. 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.
# Cherry Heights Family Clinic Llc · NPI 1952078115
Family Medicine organization in Meridian, Idaho. Organization record, active in the CMS NPPES registry since August 25, 2021.
## Identity
- **NPI:** 1952078115 (Entity type: Organization)
- **Enumerated:** August 25, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Tahlia Dennis, DELEGATED OFFICIAL
## Practice location
- **Address:** 1560 N CRESTMONT DR STE A, Meridian, ID 83642-2178
- **Phone:** (208) 650-4888 · **Fax:** (208) 650-4892
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Chiropractic (1), Family Practice (1); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952078115) · Data from the CMS NPPES public registry.