NPI age
19 years
Enumerated 2006-10-25
● Active Type 2 · Organization
Upper Valley Family Medicine Pllc
Upper Valley Family Medicine Pllc is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Berrett
Office Manager
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
711 Rigby Lake Dr Ste 115
Rigby, ID 834425230
Mailing address
711 Rigby Lake Dr Ste 115
Rigby, ID 834425230
Authorized official
Darin T Berrett
Office Manager
📞 2087455021
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Adam Blakeman, PA-C Physician Assistant NPI 1275071128
- Spencer Stanger, NP Nurse Practitioner NPI 1780194696
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8067451700 | |
| 05 (ID) | 806913600 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
UPPER VALLEY FAMILY MEDICINE
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.