Stephen L. Richins, PA-C
Individual provider Active NPI Medical Physician Assistant · Rigby, ID
NPI 1104861368 · NPPES record last updated Jun 29, 2022
Key facts
- NPI
- 1104861368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA-931 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arthritis Specialty Center,Inc
Practice addresses (Care Compare)
1448 E Ctr St
Suite E
Pocatello, ID 83201-4132
Phone (208) 234-1300
Hospital & facility affiliations
- Madison Memorial Hospital
- Mountain View Hospital
- Eastern Idaho Regional Medical Center
- Teton Valley Hospital
- Steele Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.21 of 100
- Quality
- 82.55
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 33.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111011000705 | ID | Practitioner - Physician Assistant | 1254359797 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-931 | ID | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 328390099 | Medicaid | ME | |
| 970027996 | Other | ME | RAILROAD MEDICARE |
| P00993652 | Other | ID | MEDICARE RAILROAD |
NPI Registry JSON
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "328390099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970027996",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00993652",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rigby, ID
- Kathren Reese
- Tara Reilley
- Robert Reneau
- Renew 4 Life LLC
- Renew 4 Life, LLC
- Kody Ricks
- Rigby Community Care
- Rigby Dental, Inc.
- Rigby Family Medicine LLC
- Rigby Lake Chiropractic P.C.
All providers in Rigby, ID · Medical Physician Assistant in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.