ISU MERIDIAN HEALTHCARE
NPI 1962095711
Nurse Practitioner - Primary Care in Meridian, ID
About Isu Meridian Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISU MERIDIAN HEALTHCARE (NPI 1962095711) is a healthcare organization registered as a primary care in Meridian, Idaho and active in the NPI registry since February 2021. The organization holds a CLIA Microscopy certificate valid through June 27, 2027 and lists Cynthia Lee Rock, Clinics Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Isu Meridian Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
45Medicare enrollment records show 45 clinicians reassign Medicare billing to Isu Meridian Healthcare, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 45Source: 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) 13D2228558
Isu Meridian Health Care · 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 Idaho State University's NPI number?
The NPI number for Idaho State University is 1962095711. It was assigned to this organization in the NPPES registry on February 12, 2021. The provider is also known as Isu Meridian Healthcare.
Where is Idaho State University located?
Idaho State University is located at 1311 E Central Dr, Meridian, ID 83642. The listed phone number is (208) 373-1734.
What is Idaho State University's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Idaho State University enrolled in Medicare?
Yes. Idaho State University is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Idaho State University?
According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 11 Medicare specialties reassign their Medicare billing to Idaho State University. 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 Psychiatry (12), Qualified Audiologist (11) and Physical Therapist in Private Practice (7). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Idaho State University hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D2228558) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Idaho State University accept?
Health plans from Molina Healthcare list Idaho State University 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 Idaho State University was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Isu Meridian Healthcare · NPI 1962095711
Primary Care organization in Meridian, Idaho. Organization record, active in the CMS NPPES registry since February 12, 2021.
## Identity
- **NPI:** 1962095711 (Entity type: Organization)
- **Enumerated:** February 12, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Legal business name:** Idaho State University
- **Organization subpart:** No
- **Authorized official:** Cynthia Rock, CLINICS DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 1311 E CENTRAL DR, Meridian, ID 83642-7991
- **Phone:** (208) 373-1734 · **Fax:** (833) 499-1813
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 45 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (12), Qualified Audiologist (11), Physical Therapist in Private Practice (7); 1 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1962095711/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962095711) · Data from the CMS NPPES public registry.