Idaho County Dermatology, PLLC
NPI 1922835859 · Nurse Practitioner · Grangeville, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Idaho County Dermatology, PLLC is a Nurse Practitioner organization in Grangeville, ID (NPI 1922835859).
Provider details
- NPI number
- 1922835859
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jeanna Rendo, Owner/Provider(208) 695-6668
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
1 yr 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
- 2024-09-16
- Last updated
- 2025-02-07
- Certified
- 2025-02-07
Frequently asked questions
- What is Idaho County Dermatology, PLLC's NPI number?
- Idaho County Dermatology, PLLC's National Provider Identifier (NPI) is 1922835859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho County Dermatology, PLLC?
- Idaho County Dermatology, PLLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Idaho County Dermatology, PLLC located?
- Idaho County Dermatology, PLLC's practice location on file with NPPES is 113 S a St, Grangeville, ID 83530-1428.
- What is Idaho County Dermatology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Idaho County Dermatology, PLLC is (208) 695-6668.
- Does Idaho County Dermatology, PLLC accept Medicare?
- Idaho County Dermatology, 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 Idaho County Dermatology, PLLC?
- The authorized official listed on Idaho County Dermatology, PLLC's NPPES record is Jeanna Rendo, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho County Dermatology, PLLC's NPI active?
- Yes — Idaho County Dermatology, PLLC's NPI (1922835859) is active in the NPPES registry as of the last update on 2025-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.