RACHELLE C. FRIESEN (NP-C) – Family Nurse Practitioner, NPI 1629622758

RACHELLE C. FRIESEN (NP-C) is a healthcare provider. based in Pocatello, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 62192 (ID). The NPI Number for RACHELLE C. FRIESEN (NP-C) is 1629622758

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
RACHELLE C. FRIESEN (NP-C)
NPI
1629622758
Phone
(208) 232-7862
Address
500 S 11TH AVE STE 400
Enumeration Date
26 July 2019
Last Update Date
24 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
5890121032
Group Practice PAC ID
3476462359
Professional Enrollment ID
I20200205002951
Address ID
ID836428531ME3025XLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for RACHELLE C. FRIESEN (NP-C)

  • 400, South 11th Avenue, Pocatello, Bannock County, Idaho, 83201, United States

    POCATELLO, ID 832014880

    Phone: (208) 232-7862

    Type: Mailing

  • 823 Reed St

    American Falls, ID 83211

    Phone: (208) 232-7862

    Type: Location

  • 2123, Melody Street, Caldwell, Canyon County, Idaho, 83607, United States

    CALDWELL, ID 836075190

    Phone: (208) 440-3222

    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 $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2024-03-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($64).

Total Amount

$64

General + Research + Ownership

Payments

1

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-02-05

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
I20200205002951INurse PractitionerIDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83201)

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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: 3476462359View full group profile

Reviews

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Frequently asked questions

Can I cross-check RACHELLE C. FRIESEN (NP-C) using NPI 1629622758?
NPI 1629622758 belongs to RACHELLE C. FRIESEN (NP-C); compare other details if you need extra assurance.
Would RACHELLE C. FRIESEN (NP-C) appear as active to a payer?
You can treat RACHELLE C. FRIESEN (NP-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to RACHELLE C. FRIESEN (NP-C)?
RACHELLE C. FRIESEN (NP-C)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is RACHELLE C. FRIESEN (NP-C) associated with Pocatello?
Public fields place RACHELLE C. FRIESEN (NP-C) around Pocatello, Idaho. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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