P Praxis·MD
● Active Type 2 · Organization

Vista Healthcare Pc

Clinic/Center·Rexburg, ID· NPI 1720502370 · Enumerated 2017 · 8 years on NPI
Vista Healthcare Pc is 1 of 104 clinic/center organizations in Idaho.
NPI age
8 years
Enumerated 2017-07-26
Primary specialty
Clinic/Center
Plus 5 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jones
President
Last NPPES update
2017-11-17
Source: monthly bulk 2026-05

How this organization compares

Across 104 active clinic/center providers in Idaho.

NPI age
8 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
5
In the 10% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-07Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
556 Trejo St Ste B
Rexburg, ID 834402626
📞 2083516981
Mailing address
556 Trejo Street Suite B
Rexburg, ID 834402625
📞 2083516981

Authorized official

Rachelle Jones, FNP-C
President
📞 2088810902

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    ID license #NP-914A taxonomy 261QP2300X
  • Nurse Practitioner
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    ID license #NP-914A taxonomy 363L00000X
  • Nurse Practitioner
    Definition to come...
    ID license #NP-914A taxonomy 363LF0000X
  • Nurse Practitioner
    Definition to come...
    ID license #NP-914A taxonomy 363LP0808X
  • Nurse Practitioner
    Definition to come...
    taxonomy 363LW0102X
  • Nurse Practitioner
    Definition to come...
    taxonomy 363LX0001X

Identifiers

TypeValueNotes
05 (ID) 1982830345

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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