NPIMap

Individual provider Active NPI

Stephen L. Richins, PA-C

  • Medical Physician Assistant
  • Rigby, ID
National Provider Identifier
1104861368
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-931 Issued in ID
Practice address
711 Rigby Lake Dr
Ste. 114
Rigby, ID 83442-5229
Phone
(208) 234-1300
Fax
(208) 234-1333
NPI assigned
Jun 19, 2006
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-931 ID Primary

Addresses

Primary practice location

711 Rigby Lake Dr
Ste. 114
Rigby, ID 83442-5229

Mailing address

1448 E Center St
Suite E
Pocatello, ID 83201-4105
Phone (208) 234-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111011000705 ID Practitioner - Physician Assistant 1254359797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arthritis Specialty Center,IncGroup PAC ID 3274632807, 6 clinicians

Practice addresses (Care Compare)

1448 E Ctr St
Suite E
Pocatello, ID 83201-4132
Phone (208) 234-1300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.21 of 100Reported as group
Quality
82.55
Promoting interoperability
97
Improvement activities
40
Cost
33.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1104861368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 E CENTER ST",
            "address_2": "SUITE E",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014105",
            "telephone_number": "208-234-1300",
            "fax_number": "208-234-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 RIGBY LAKE DR",
            "address_2": "STE. 114",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425229",
            "telephone_number": "208-234-1300",
            "fax_number": "208-234-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHINS",
        "first_name": "STEPHEN",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

Verify at the official NPI Registry.