Josie Marie Syverson, M.D.
Individual provider Active NPI Family Medicine Physician · Pocatello, ID
NPI 1154760528 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1154760528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MRM-1343 (ID)
- Practice address
- 465 Memorial Dr
Pocatello, ID 83201-4008 - Phone
- (208) 282-4700
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Glacial Ridge Hospital District
Centracare Health - Benson LLC
Swift County-Benson Hospital
Practice addresses (Care Compare)
10 4TH Ave SE
Glenwood, MN 56334-1820
Phone (320) 634-4521
1815 Wisconsin Ave
Benson, MN 56215-1653
Phone (320) 843-4232
Hospital & facility affiliations
- Divine Home Care Inc
- Vivie Home Health
- Centracare Hospice
- Centracare - Benson
- Glacial Ridge Hospital
- Centracare- Rice Memorial Hospital
- Centracare - Benson
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160803002136 | MN | Practitioner - Family Practice | 7618119173 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Pathologists Chartered | Current | Accepting new patients | |
| Centracare Health - Benson LLC | Current |
Accepting new patients | |
| Swift County-Benson Hospital | Current | Accepting new patients | |
| Carris Health LLC | Current |
Accepting new patients | |
| Glacial Ridge Hospital District | Current |
Accepting new patients | |
| Centracare Health - Benson LLC | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current |
Accepting new patients | |
| Carris Health LLC | Current |
Accepting new patients | |
| Glacial Ridge Hospital District | Family Medicine | Current | Accepting new patients |
| Swift County Benson Hospital | Family Medicine | Current |
Accepting new patients |
Locations
1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454
1810 McKinney Ave
Benson, MN 56215
Phone (320) 843-2030
10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157
417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157
301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/glac-1755385c
- jsyverson305423@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MRM-1343 | ID | Yes |
Addresses
Primary practice location
465 Memorial Dr
Pocatello, ID 83201-4008
Mailing address
465 Memorial Dr
Pocatello, ID 83201-4008
Phone (208) 282-4700
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsyverson305423@direct.centracare.com | Direct |
Other providers in Pocatello, ID
- Margarita Angelina Swallow
- Lindsey Elizabeth Swank
- Andrea Lewis Swenson
- Susan Swetnam
- Synergy Mental Health LLC
- Ifereimi Tabakece
- Sabrina Tallon
- Tanabell Health Services Inc
- Tanabell Health Services, Inc
- William Blake Tanner
All providers in Pocatello, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. 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.