Active NPI
Naglaa Bargelski
- Physician Assistant
- Idaho Falls, ID
National Provider Identifier
1669940110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-1667
- Practice address
- 2375 E Sunnyside Rd Ste I
Idaho Falls, ID 83404-8281 - Phone
- (208) 535-4300
- NPI assigned
- Nov 2, 2018
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190108002520 | ID | Practitioner - Physician Assistant | 1052657301 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-1667 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2375 E Sunnyside Rd Ste I
Idaho Falls, ID 83404-8281
Mailing address
2375 E Sunnyside Rd Ste I
Idaho Falls, ID 83404-8281
Phone (208) 569-4510
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA-1667 | Other | ID | IDAHO STATE PA LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2025.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1669940110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2375 E SUNNYSIDE RD STE I",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048281",
"telephone_number": "208-569-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2375 E SUNNYSIDE RD STE I",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048281",
"telephone_number": "208-535-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARGELSKI",
"first_name": "NAGLAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-02",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-1667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO STATE PA LICENSE",
"identifier": "PA-1667",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.