NPIMap

Individual provider Active NPI

Stephen M. Jensen, D.O.

  • Internal Medicine Physician
  • Rexburg, ID
National Provider Identifier
1821351800
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
64040 Issued in WI
Practice address
450 E Main St
Rexburg, ID 83440-2048
Phone
(208) 359-6900
NPI assigned
Jun 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0116025046 VA
Internal Medicine Physician 207R00000X O-1547 ID
Internal Medicine Physician 207R00000X 64040 WI Primary

Addresses

Primary practice location

450 E Main St
Rexburg, ID 83440-2048

Mailing address

450 E Main St
Rexburg, ID 83440-2048
Phone (208) 359-6900

Other practice location 1

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-7350

Other identifiers 2

IdentifierTypeStateIssuer
O-1547OtherIDIDAHO STATE MEDICAL LICENSE
64040OtherWIWI STATE LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150716000893 WI Practitioner - Internal Medicine 9739492083 Reassigns benefits to 2 organizations
I20211112001684 ID Practitioner - Internal Medicine 9739492083 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Memorial HospitalGroup PAC ID 4183949522, 20 clinicians

Practice addresses (Care Compare)

3025 W Cherry LN
Meridian, ID 83642-8531

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

450 E Main St
Reburg, ID 83440-2048
Phone (208) 359-6516

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O-1547IDMDInternal Medicine Physician
0116025046VAMDInternal Medicine Physician
64040WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Madison Memorial Hospital CurrentSince Sep 3, 2021 Accepting new patients
Madison Co Memorial Hospital CurrentSince Jul 31, 2025 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Apr 16, 2022 Accepting new patients
Teton Valley Health Care Inc Current Accepting new patients
Teton Valley Health Care, Inc CurrentSince Aug 1, 2022 Accepting new patients
Madison Co Memorial Hospital Current Accepting new patients
Teton Valley Health Care, Inc CurrentSince Aug 1, 2022 Accepting new patients
Teton Valley Health Care Inc CurrentSince Oct 30, 2025 Accepting new patients
Madison Co Memorial Hospital CurrentSince Jul 31, 2025 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jul 6, 2015 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jul 6, 2015 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients

Locations

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

393 E 2nd N
Rexburg, ID 83440
Phone (208) 356-5401

37 S 2nd E
Rexburg, ID 83440
Phone (208) 356-0234

450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691

37 S 2nd E
Ste 300
Rexburg, ID 83440

29980 Network Pl
Chicago, IL 60673

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d61ab3e4-55bb-4859-99e6-22c413b48f2a/
  • Direct secure messaging: jensenst@direct.madisonmemorial.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1821351800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E MAIN ST",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402048",
            "telephone_number": "208-359-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E MAIN ST",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402048",
            "telephone_number": "208-359-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N Curtis Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061309",
            "country_code": "US",
            "telephone_number": "208-367-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-24",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116025046",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "O-1547",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "64040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO STATE MEDICAL LICENSE",
            "identifier": "O-1547",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE LIC",
            "identifier": "64040",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.