Active NPI
Victoria Rose Vega, PA-C
- Medical Physician Assistant
- Rupert, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 402 6TH St
Rupert, ID 83350-1619 - Phone
- (208) 650-7941
- NPI assigned
- Jul 4, 2022
- Last updated
- Sep 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NU | Primary |
Addresses
Primary practice location
402 6TH St
Rupert, ID 83350-1619
Mailing address
478 Filmore Ave
Pocatello, ID 83201-3811
Phone (859) 321-9421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 3312
Hayden, ID 83835
PO Box
Suite 4168
Pocatello, ID 83205-4168
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Services Corporation | Medical | Current | Accepting new patients |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Family Health Services Corporation | Current | Accepting new patients | |
| Family Health Services Corporation | Current | Accepting new patients | |
| Family Health Services Corporation | Current | Accepting new patients | |
| Family Health Services Corporation | Current | Accepting new patients | |
| Family Health Services Corporation | Past | Accepting new patients | |
| Family Health Services Corporation | Medical | Past | Accepting new patients |
| Family Health Services Corporation | Past | Accepting new patients | |
| Family Health Services Corporation | Past | Accepting new patients | |
| Family Health Services Corporation | Past | Accepting new patients | |
| Family Health Services Corporation | Past | Accepting new patients | |
| Family Health Services Corporation | Past | Accepting new patients | |
| Family Health Services Corporation | Past | Accepting new patients |
Locations
621 N Main St
Bellevue, ID 83313
Phone (208) 725-3145
725 Fair St
Buhl, ID 83316
Phone (208) 543-8271
1309 Bennett Ave
Burley, ID 83318
Phone (208) 677-5198
114 Pioneer Ct
Jerome, ID 83338
Phone (208) 324-3471
218 W Nez Perce
Jerome, ID 83338
Phone (208) 324-3471
777 Hospital Way
Ste 115
Pocatello, ID 83201
Phone (208) 239-2260
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
402 6th St
Rupert, ID 83350
Phone (208) 650-7941
651 S Beverly St
Shoshone, ID 83352
Phone (208) 886-2224
325 Martin St
Twin Falls, ID 83301
Phone (208) 732-7101
388 Martin St
Twin Falls, ID 83301
Phone (208) 734-0451
794 Eastland Dr
Twin Falls, ID 83301
Phone (208) 734-3312
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- victoria.vega.d1.p1@direct.fhsid.nextgenshare.com
- vvega916078@ahs.direct-ci.com
Organizations & group practices 15
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.
-
- Federally Qualified Health Center (FQHC)
- Burley, ID
- NPI 1033165550
-
- Federally Qualified Health Center (FQHC)
- Rupert, ID
- NPI 1093761694
Medical
-
dba Family Health Services
- Federally Qualified Health Center (FQHC)
- Twin Falls, ID
- NPI 1235279217
-
- Federally Qualified Health Center (FQHC)
- Fairfield, ID
- NPI 1316984529
-
- Federally Qualified Health Center (FQHC)
- Kimberly, ID
- NPI 1659946861
-
- School Social Worker
- Twin Falls, ID
- NPI 1679238190
-
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1154089126
-
dba Family Health Services
- Federally Qualified Health Center (FQHC)
- Buhl, ID
- NPI 1003862525
-
- Federally Qualified Health Center (FQHC)
- Bellevue, ID
- NPI 1245804400
Medical
-
- Federally Qualified Health Center (FQHC)
- Kimberly, ID
- NPI 1538405410
-
dba Family Health Services
- Federally Qualified Health Center (FQHC)
- Twin Falls, ID
- NPI 1669449450
-
dba Family Health Services
- Federally Qualified Health Center (FQHC)
- Jerome, ID
- NPI 1730135310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1205569639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "478 FILMORE AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832013811",
"telephone_number": "859-321-9421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 6TH ST",
"city": "RUPERT",
"state": "ID",
"postal_code": "833501619",
"telephone_number": "208-650-7941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "VICTORIA",
"middle_name": "ROSE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-04",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rupert, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.