CENTRAL IDAHO INFUSION CENTER LLC
NPI 1962268938
Clinic/Center - Health Service in Jerome, ID
About Central Idaho Infusion Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL IDAHO INFUSION CENTER LLC (NPI 1962268938), doing business as Central Idaho Wellness Center, is a healthcare organization registered as a health service in Jerome, Idaho and active in the NPI registry since February 2024. The organization lists Jolyne Dickinson, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Central Idaho Infusion Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Central Idaho Infusion Center LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Central Idaho Infusion Center LLC's NPI number?
The NPI number for Central Idaho Infusion Center LLC is 1962268938. It was assigned to this organization in the NPPES registry on February 26, 2024. The provider is doing business as Central Idaho Wellness Center.
Where is Central Idaho Infusion Center LLC located?
Central Idaho Infusion Center LLC is located at 868 E Main St, Jerome, ID 83338. The listed phone number is (208) 316-6424.
What is Central Idaho Infusion Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Central Idaho Infusion Center LLC enrolled in Medicare?
Yes. Central Idaho Infusion Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Central Idaho Infusion Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Central Idaho Infusion Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Central Idaho Infusion Center LLC was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Central Idaho Infusion Center Llc · NPI 1962268938
Health Service organization in Jerome, Idaho. Organization record, active in the CMS NPPES registry since February 26, 2024.
## Identity
- **NPI:** 1962268938 (Entity type: Organization)
- **Enumerated:** February 26, 2024
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Also known as:** Central Idaho Wellness Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jolyne Dickinson, OFFICE MANAGER
## Practice location
- **Address:** 868 E MAIN ST, Jerome, ID 83338-2446
- **Phone:** (208) 316-6424
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962268938) · Data from the CMS NPPES public registry.