Fall River Medical, PLLC
NPI 1457698987 · Primary Care Clinic/Center · Rexburg, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fall River Medical, PLLC is a Primary Care Clinic/Center organization in Rexburg, ID (NPI 1457698987).
Provider details
- NPI number
- 1457698987
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Austin Gillette, Owner(208) 881-5222
- License
- O-0518 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2013-01-03
- Last updated
- 2019-11-19
Frequently asked questions
- What is Fall River Medical, PLLC's NPI number?
- Fall River Medical, PLLC's National Provider Identifier (NPI) is 1457698987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fall River Medical, PLLC?
- Fall River Medical, PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fall River Medical, PLLC located?
- Fall River Medical, PLLC's practice location on file with NPPES is 21 Winn Dr, Rexburg, ID 83440.
- What is Fall River Medical, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fall River Medical, PLLC is (208) 881-5222.
- Does Fall River Medical, PLLC accept Medicare?
- Fall River Medical, 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 Fall River Medical, PLLC?
- The authorized official listed on Fall River Medical, PLLC's NPPES record is Austin Gillette, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fall River Medical, PLLC's NPI active?
- Yes — Fall River Medical, PLLC's NPI (1457698987) is active in the NPPES registry as of the last update on 2019-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.