Rachelle Jones, F.N.P.-C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20125A Issued in ID

Practice address

556 Trejo St Ste B
Rexburg, ID 83440-2626

Phone

(208) 881-0902

Fax

(208) 881-9352

NPI assigned

May 29, 2009

Last updated

Nov 9, 2017By the provider in NPPES

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

Other identifiers 1

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

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vista Healthcare PCGroup PAC ID 4587921788, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025
• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vista Healthcare PC

  • Primary Care Clinic/Center
  • Rexburg, ID
  • NPI 1720502370

  Family

  Medicare reassignment Care Compare group NPD Authorized official
• Eagle Rock Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Idaho Falls, ID
  • NPI 1174712418
  NPD (past)

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

• Madison Co Memorial Hospital

  dba Seasons Medical By Madison Memorial

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1073154266

  Hospital

  Care Compare affiliation
• Madison Co Memorial Hospital

  • General Acute Care Hospital
  • Rexburg, ID
  • NPI 1992747570
  Care Compare affiliation
• Mountain View Hospital LLC

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

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1982830345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 TREJO ST STE B",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402626",
            "telephone_number": "208-881-0902",
            "fax_number": "208-881-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 TREJO ST STE B",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402626",
            "telephone_number": "208-881-0902",
            "fax_number": "208-881-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RACHELLE",
        "credential": "F.N.P.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "20125A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808361600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JJST Enterprises Corp. (Rexburg Counseling)
• Karen Wilkinson John, LMSW
• Julianna Howell Johnson, LLMSW
• Melanie M Johnson, PHARMD
• Jeff Jones, LCPC
• Richard Thomas Jones, MD
• Ryan Duane Jones, D.C.
• Mason W Jorgensen
• Joshua R Fullmer MD PLLC
• Julie B. Shiffler, PHD, PC

• Family Nurse Practitioner in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.