Prism Family Medicine LLC
NPI 1942028592 · Family Medicine Physician · Pocatello, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prism Family Medicine LLC is a Family Medicine Physician organization in Pocatello, ID (NPI 1942028592).
Provider details
- NPI number
- 1942028592
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Rolynn, Owner(208) 806-4581
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
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
- 2024-10-02
- Last updated
- 2024-10-03
- Certified
- 2024-10-03
Frequently asked questions
- What is Prism Family Medicine LLC's NPI number?
- Prism Family Medicine LLC's National Provider Identifier (NPI) is 1942028592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prism Family Medicine LLC?
- Prism Family Medicine LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prism Family Medicine LLC located?
- Prism Family Medicine LLC's practice location on file with NPPES is 1950 E Clark St Ste 100, Pocatello, ID 83201-3315.
- What is Prism Family Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Prism Family Medicine LLC is (208) 806-4581.
- Does Prism Family Medicine LLC accept Medicare?
- Prism Family Medicine LLC 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 Prism Family Medicine LLC?
- The authorized official listed on Prism Family Medicine LLC's NPPES record is Jessica Rolynn, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prism Family Medicine LLC's NPI active?
- Yes — Prism Family Medicine LLC's NPI (1942028592) is active in the NPPES registry as of the last update on 2024-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.