Individual provider Active NPI

Victoria Rose Vega, PA-C

  • Medical Physician Assistant
  • Rupert, ID
National Provider Identifier
1205569639
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
402 6TH St
Rupert, ID 83350-1619
Phone
(208) 650-7941
NPI assigned
Jul 4, 2022
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221201003006 ID Practitioner - Physician Assistant 2365810926 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Family Health Services Corporation Medical Current Accepting new patients
Pocatello Health Services, LLC CurrentSince Mar 15, 2024 Accepting new patients
Family Health Services Corporation Current Accepting new patients
Family Health Services Corporation Current Accepting new patients
Family Health Services Corporation CurrentSince Nov 1, 2022 Accepting new patients
Family Health Services Corporation CurrentSince Nov 1, 2022 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: victoria.vega.d1.p1@direct.fhsid.nextgenshare.com
  • Direct secure messaging: 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.

View all 15

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

Verify at the official NPI Registry.