Gem State Ent, PLLC
NPI 1215715669 · General Practice Physician · Twin Falls, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gem State Ent, PLLC is a General Practice Physician organization in Twin Falls, ID (NPI 1215715669).
Provider details
- NPI number
- 1215715669
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brooke Freidenberger, Medical Coder(208) 858-6008
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 1501 Hiland Ave Ste MBurley, ID 83318-2688Phone: (208) 352-7555Fax: (208) 352-7333
- 314 S River StHailey, ID 83333-8851Phone: (208) 352-7555Fax: (208) 352-7333
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2025-04-08
- Certified
- 2025-04-08
Frequently asked questions
- What is Gem State Ent, PLLC's NPI number?
- Gem State Ent, PLLC's National Provider Identifier (NPI) is 1215715669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gem State Ent, PLLC?
- Gem State Ent, PLLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Gem State Ent, PLLC located?
- Gem State Ent, PLLC's practice location on file with NPPES is 2102 Canyon Plaza Dr, Twin Falls, ID 83301-4513.
- What is Gem State Ent, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Gem State Ent, PLLC is (208) 352-7555.
- Does Gem State Ent, PLLC accept Medicare?
- Gem State Ent, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gem State Ent, PLLC?
- The authorized official listed on Gem State Ent, PLLC's NPPES record is Brooke Freidenberger, Medical Coder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gem State Ent, PLLC's NPI active?
- Yes — Gem State Ent, PLLC's NPI (1215715669) is active in the NPPES registry as of the last update on 2025-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.