Fall Creek Skin and Health PLLC
NPI 1629247093 · Medical Physician Assistant · Rexburg, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fall Creek Skin and Health PLLC is a Medical Physician Assistant organization in Rexburg, ID (NPI 1629247093).
Provider details
- NPI number
- 1629247093
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Brett Bagley, Physician Assistant Certified(208) 359-2263
- License
- PA-215 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2008-02-29
- Last updated
- 2018-06-26
Frequently asked questions
- What is Fall Creek Skin and Health PLLC's NPI number?
- Fall Creek Skin and Health PLLC's National Provider Identifier (NPI) is 1629247093, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fall Creek Skin and Health PLLC?
- Fall Creek Skin and Health PLLC is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fall Creek Skin and Health PLLC located?
- Fall Creek Skin and Health PLLC's practice location on file with NPPES is 534 Trejo St Ste 400, Rexburg, ID 83440.
- What is Fall Creek Skin and Health PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fall Creek Skin and Health PLLC is (208) 359-2263.
- Does Fall Creek Skin and Health PLLC accept Medicare?
- Fall Creek Skin and Health 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 Creek Skin and Health PLLC?
- The authorized official listed on Fall Creek Skin and Health PLLC's NPPES record is Brett Bagley, Physician Assistant Certified. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fall Creek Skin and Health PLLC's NPI active?
- Yes — Fall Creek Skin and Health PLLC's NPI (1629247093) is active in the NPPES registry as of the last update on 2018-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.