NPIMap

Organization Active NPI

Precision Medical Care LLC

  • Family Medicine Physician
  • Idaho Falls, ID
National Provider Identifier
1780266288
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRECISION MEDICAL CARE LLC
Practice address
3820 Crestwood LN
Idaho Falls, ID 83404-4979
Phone
(208) 918-2525
Fax
(800) 850-8736
NPI assigned
Apr 23, 2021
Last updated
Mar 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ellis ReibsteinNPI 1841120938
Title
Director of Operations
Phone
(208) 996-2692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Nutritionist 133N00000X NU
Registered Dietitian 133V00000X NU
Pharmacist 183500000X NU
Family Medicine Physician 207Q00000X NU Primary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X NU
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Clinical Nurse Specialist 364S00000X NU

Addresses

Primary practice location

3820 Crestwood LN
Idaho Falls, ID 83404-4979

Mailing address

6700 N Linder Rd Ste 156Ab307
Meridian, ID 83646-6607
Phone (208) 918-2525

Other practice location 1

2775 Channing Way
Idaho Falls, ID 83404-7510
Phone (208) 918-2525

Other practice location 2

2840 S Meridian Rd
Meridian, ID 83642-7960
Phone (208) 918-2525

Other names 1

  • Precision Health Corp Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210527000772 UT Part B Supplier - Clinic/Group Practice 2264831031 Receives reassigned benefits from 13 practitioners
Practice locations: Lehi, UT
O20220901000170 ID Part B Supplier - Clinic/Group Practice 2264831031 Receives reassigned benefits from 24 practitioners
Practice locations: Meridian, ID; Idaho Falls, ID

National Provider Directory

National Provider Directory

Locations

3155 Channing Way
Idaho Falls, ID 83404
Phone (801) 699-6344

2965 E Tarpon Dr
Meridian, ID 83642
Phone (208) 918-2525

2965 E Tarpon Dr
Ste 110
Meridian, ID 83642
Phone (208) 552-7700

6700 N Linder Rd
Ste 156AB307
Meridian, ID 83646

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1780266288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N LINDER RD STE 156AB307",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466607",
            "telephone_number": "208-918-2525",
            "fax_number": "800-310-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 CRESTWOOD LN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044979",
            "telephone_number": "208-918-2525",
            "fax_number": "800-850-8736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2775 Channing Way",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047510",
            "country_code": "US",
            "telephone_number": "208-918-2525",
            "fax_number": "800-310-6851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2840 S Meridian Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836427960",
            "country_code": "US",
            "telephone_number": "208-918-2525",
            "fax_number": "800-310-6851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "REIBSTEIN",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "208-996-2692"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Health Corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.