JEREMY CHAD RINDLISBACHER (PA-C) – Physician Assistant, NPI 1063851889

JEREMY CHAD RINDLISBACHER (PA-C) is a healthcare provider. based in Rexburg, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA60379809 (WA). The NPI Number for JEREMY CHAD RINDLISBACHER (PA-C) is 1063851889

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY CHAD RINDLISBACHER (PA-C)
NPI
1063851889
Phone
(208) 356-3691
Address
450 E Main St
Enumeration Date
14 June 2013
Last Update Date
12 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2087173100
Graduation Year
2011 (15 years ago)
PAC ID
5698915593
Group Practice PAC ID
2264773373
Professional Enrollment ID
I20180126001255
Address ID
ID835014118LE2201XGRAD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for JEREMY CHAD RINDLISBACHER (PA-C)

  • 450 E Main St

    Rexburg, ID 834402048

    Phone: (208) 356-3691

    Type: Location

  • 47 Doc Perkes Rd

    Afton, WY 831108311

    Phone: (307) 885-3637

    Type: Location

  • 740 S WOODRUFF AVE

    IDAHO FALLS, ID 834015285

    Phone: (208) 542-9111

    Fax: (208) 542-9114

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2023-08-25 • Largest payer in this snapshot: PFIZER INC. ($60).

Total Amount

$60

General + Research + Ownership

Payments

1

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$60
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180126001255IPhysician AssistantIDTBD
I20200526002104IPhysician AssistantWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 83440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264773373View full group profile
NameSpecialtyState
Nurse PractitionerWY
Physician AssistantID
Physician AssistantCT
Nurse PractitionerID
Physician AssistantWA
-ID
Physician AssistantFL
Physician AssistantID
Physician AssistantID
Physician AssistantID

Reviews

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Frequently asked questions

Can I use this page to confirm JEREMY CHAD RINDLISBACHER (PA-C)'s NPI?
Yes. JEREMY CHAD RINDLISBACHER (PA-C) is listed with NPI 1063851889 in the public NPI dataset.
Does CMS list JEREMY CHAD RINDLISBACHER (PA-C) as active?
Yes — JEREMY CHAD RINDLISBACHER (PA-C) is active in the NPI listing used on this page.
What taxonomy line describes JEREMY CHAD RINDLISBACHER (PA-C)?
For research purposes, treat JEREMY CHAD RINDLISBACHER (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JEREMY CHAD RINDLISBACHER (PA-C)?
JEREMY CHAD RINDLISBACHER (PA-C)'s geographic hint is Rexburg, Idaho in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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