NPI age
1 years
Enumerated 2024-10-02
● Active Type 2 · Organization
Prism Family Medicine Llc
Prism Family Medicine Llc 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
Rolynn
Owner
Last NPPES update
2024-10-03
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
1 years
↓ 16 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-10Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
1950 E Clark St Ste 100
Pocatello, ID 832013315
Mailing address
1950 E Clark St Ste 100
Pocatello, ID 832013315
Authorized official
Jessica J Rolynn, MD
Owner
📞 2088064581
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Ryan Wolfley, PA-C Physician Assistant NPI 1659035301
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...
Practice context
Multi-provider organization. 1 individual provider 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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