VAN MARTIN STONEHOCKER (PA-C) – Physician Assistant, NPI 1649892829
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 PHYSICIAN ASSISTANT in ID
Provider Addresses for VAN MARTIN STONEHOCKER (PA-C)
6641 KANIKSU ST
BONNERS FERRY, ID 838057532
Phone: (208) 267-3655
Fax: (208) 267-3757
Type: Mailing
755 W CENTER ST
OREM, UT 840575365
Phone: (801) 473-0404
Type: Mailing
PO BOX 232
MOYIE SPRINGS, ID 838455000
Phone: (801) 473-0404
Type: Mailing
56 KHLOE CIR
MOYIE SPRINGS, ID 83845
Phone: (801) 473-0404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $131.
Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Exact Sciences Corporation ($44).
Total Amount
$131
General + Research + Ownership
Payments
6
Total payment records
General Amount
$131
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $44 |
| Novo Nordisk Inc | $37 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $25 |
| ITI, Inc. | $24 |
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: 2021-07-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210712002455 | I | Physician Assistant | ID | TBD |
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.
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 83805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | ID | |
| - | ID | |
| Family Practice | ID | |
| Nurse Practitioner | ID | |
| Orthopedic Surgery | ID | |
| Internal Medicine, Family Practice | MT | |
| Nurse Practitioner | OK |
Reviews
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