Portneuf Nephrology Center
NPI 1164413753 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pocatello, ID
Portneuf Nephrology Center is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Pocatello, ID (NPI 1164413753).
Provider details
- NPI number
- 1164413753
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jan Jacobs, Accounts Receivable Manager(208) 367-3076
- License
- BM7847203 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Portneuf Nephrology Center's NPI number?
- Portneuf Nephrology Center's National Provider Identifier (NPI) is 1164413753, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portneuf Nephrology Center?
- Portneuf Nephrology Center is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Portneuf Nephrology Center located?
- Portneuf Nephrology Center's practice location on file with NPPES is 2001 Bench Rd, Pocatello, ID 83201-2033.
- What is Portneuf Nephrology Center's phone number?
- The practice phone number listed in the NPPES registry for Portneuf Nephrology Center is (208) 637-1090.
- Who is the authorized official for Portneuf Nephrology Center?
- The authorized official listed on Portneuf Nephrology Center's NPPES record is Jan Jacobs, Accounts Receivable Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portneuf Nephrology Center's NPI active?
- Yes — Portneuf Nephrology Center's NPI (1164413753) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.