JUANITA E PRISSEL (MD) – Family Medicine Physician, NPI 1376771667

JUANITA E PRISSEL (MD) is a healthcare provider. based in Driggs, Idaho. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. M-11239 (ID). The NPI Number for JUANITA E PRISSEL (MD) is 1376771667

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JUANITA E PRISSEL (MD)
NPI
1376771667
Phone
(208) 354-6302
Address
120 E HOWARD ST
Enumeration Date
25 June 2009
Last Update Date
19 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
2083542383
Graduation Year
2009 (17 years ago)
PAC ID
7416113881
Group Practice PAC ID
3870744956
Professional Enrollment ID
I20120730000739
Address ID
ID834225112DR120XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

560 INTERNAL MEDICINE in ID

Provider Addresses for JUANITA E PRISSEL (MD)

  • 120 E HOWARD ST

    DRIGGS, ID 834225112

    Phone: (208) 354-6302

    Fax: (208) 354-3158

    Mailing address matches the actual address.

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 $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-01-11 • Largest payer in this snapshot: Dexcom, Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$27
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: 2012-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20120730000739IInternal MedicineIDTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes8626$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2117$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1816$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1715$0
99239Hospital discharge day management, more than 30 minutes1411$0
View full utilization report →

Insurance plans in this area (ZIP 83422)

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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: 3870744956View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeID
-ID
Family PracticeID
H O S P I T A L I S TAZ
Physician AssistantID
Physical Therapist In Private PracticeID
D E R M A T O L O G YID
-UT
Family PracticeID
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Does JUANITA E PRISSEL (MD) have a public NPI I can cite?
Public records show JUANITA E PRISSEL (MD) under NPI 1376771667.
Is JUANITA E PRISSEL (MD) currently accepting referrals based on NPI status?
Registry metadata lists JUANITA E PRISSEL (MD) as active.
Which specialty label fits JUANITA E PRISSEL (MD)?
NPPES ties JUANITA E PRISSEL (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to JUANITA E PRISSEL (MD)?
JUANITA E PRISSEL (MD) shows a connection to Driggs, Idaho in registry-derived data.
Why is information missing for JUANITA E PRISSEL (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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