LINDSEY M PRUYN (PA) – Medical Physician Assistant, NPI 1699755512
Medical Physician Assistant
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NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
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Provider Addresses for LINDSEY M PRUYN (PA)
Eastern Idaho Regional Medical Center, 3100, Channing Way, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 834041647
Phone: (208) 535-4130
Fax: (208) 535-4125
Type: Location
3100 Channing Way
Idaho Falls, ID 834041647
Phone: (208) 535-4130
Fax: (208) 535-4125
Type: Location
Idaho Falls Post Office, 4th Street, Idaho Falls, Bonneville County, Idaho, 83401, United States
IDAHO FALLS, ID 834031647
Phone: (208) 535-4130
Fax: (208) 535-4125
Type: Mailing
630 N ARROWLEAF TRL
SISTERS, OR 977592610
Phone: (541) 549-1318
Fax: (541) 588-6002
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-06-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051115000795 | I | Physician Assistant | ID | TBD |
| I20220624000288 | I | Physician Assistant | OR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 267 | 173 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 244 | 156 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 44 | 34 | $0 |
| G0008 | Administration of influenza virus vaccine | 34 | 33 | $0 |
| 71046 | X-ray of chest, 2 views | 33 | 25 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Orthopedic Surgery | NM | |
| Family Practice | OR | |
| Nurse Practitioner | OR | |
| Hand Surgery | OR | |
| Diagnostic Radiology | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| General Surgery | OR |
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