Rachelle Alice Jaramillo, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-771 Issued in ID

Practice address

486 W First St
Glenns Ferry, ID 83623-0266

Phone

(208) 366-7416

Fax

(208) 366-2595

NPI assigned

Oct 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MVH Pic LLCGroup PAC ID 6709156904, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
• Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• MVH Pic LLC

  • Family Medicine Physician
  • Pocatello, ID
  • NPI 1972035772
  Medicare reassignment Care Compare group
• MVH PMHS LLC

  • Mental Health Counselor
  • Pocatello, ID
  • NPI 1649704248
  Medicare reassignment
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  NPD (past)
• Physicians Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pocatello, ID
  • NPI 1194063750
  NPD (past)

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

• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Care Compare affiliation
• Pocatello Hospital LLC

  • Rehabilitation Hospital Unit
  • Pocatello, ID
  • NPI 1144262114
  Care Compare affiliation
• Pocatello Hospital LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055
  Care Compare affiliation

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1962654673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "GLENNS FERRY",
            "state": "ID",
            "postal_code": "836230266",
            "telephone_number": "208-366-7416",
            "fax_number": "208-366-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 W FIRST ST",
            "city": "GLENNS FERRY",
            "state": "ID",
            "postal_code": "836230266",
            "telephone_number": "208-366-7416",
            "fax_number": "208-366-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "RACHELLE",
        "middle_name": "ALICE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Elmor Consolidated Class a 192
• Juanita Alicia Garza
• Glenns Ferry Health Center Inc
• Glenns Ferry Health Center, Inc.
• Carin Melissa Howard, PA-C
• Nichole Koonce
• Ridley'S Family Markets Inc
• Snake River Wellness PLLC
• Stonebridge Assisted Living LLC
• TNT Apothecary LLC

• Medical Physician Assistant in Glenns Ferry, ID
• Providers in Glenns Ferry, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.

Verify at the official NPI Registry.