NPIMap

Jessica A Evert, MD

Individual provider Active NPI Family Medicine Physician · Boise, ID

NPI 1003015124 · NPPES record last updated Oct 12, 2023

Key facts

NPI
1003015124
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
M-14615 (ID)
Practice address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone
(208) 367-7350
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Ohio State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center Inc (672 clinicians)
Ancora Hospice and Palliative Services LLC (4 clinicians)
St Lukes Clinic-Treasure Valley LLC (1,155 clinicians)

Practice addresses (Care Compare)

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

3025 W Cherry LN
Meridian, ID 83642-8531

401 N Whitley Dr
Fruitland, ID 83619-2434
Phone (208) 452-2672

520 S Eagle Rd
Meridian, ID 83642-6351

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

9580 W St Lukes Dr
Nampa, ID 83687-7912
Phone (208) 505-2711

9850 St Lukes Dr
Nampa, ID 83687-7912

9850 W St Luke'S Dr
Nampa, ID 83687-7912

Hospital & facility affiliations

  • Multicare Home Health Services, Inc Home health agency · Meridian, ID · CCN 137093
  • White Oak Hospice Hospice · Star, ID · CCN 131588
  • Ancora Hospice & Palliative Services, LLC Hospice · Fruitland, ID · CCN 131585
  • Saint Alphonsus Regional Medical Center Hospital · Boise, ID · CCN 130007
  • St Luke'S Regional Medical Center Hospital · Boise, ID · CCN 130006
  • St Luke'S Nampa Medical Center Hospital · Nampa, ID · CCN 130071

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA, ID
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20081006000508 CA Practitioner - Internal Medicine
Practitioner - Hospice/Palliative Care
Practitioner - Family Practice		 5496823338 Reassigns benefits to 2 organizations
I20190521002797 ID Practitioner - Family Practice 5496823338 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A100346CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Family Medicine Current
since Apr 22, 2019		 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current
since Nov 1, 2023		 Accepting new patients
University of California SFGH Medical Group Current
since Jul 1, 2015		 Accepting new patients
University of California SFGH Medical Group Family Medicine Current
since May 11, 2010		 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group Current
since May 11, 2010		 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine Current
since Apr 22, 2019		 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current
since Nov 1, 2023		 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Ancora Hospice & Palliative Services, LLC Current
since Nov 1, 2022		 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Ancora Hospice & Palliative Services, LLC Family Medicine Current
since Feb 25, 2024		 Accepting new patients
Sutter East Bay Medical Foundation Family Medicine Past Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
John Muir Physician Network Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

401 N Whitley Dr
Fruitland, ID 83619
Phone (208) 452-2672

808 N Whitley Dr
Fruitland, ID 83619
Phone (208) 452-2672

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

660 E Franklin Rd
Ste 140
Meridian, ID 83642
Phone (208) 992-2672

9850 W St Lukes Dr
Nampa, ID 83687
Phone (208) 205-7282

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECCGCD/Endpoint/ECCGCD
  • Direct secure messaging: jevert2920086@direct.trinity-health.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A100346 CA
Family Medicine Physician 207Q00000X M-14615 ID Yes

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

808 N Whitley Dr
Fruitland, ID 83619-2437
Phone (208) 452-2672

Other practice location 2

660 E Franklin Rd Ste 140
Meridian, ID 83642-2914
Phone (208) 992-2672

Other identifiers

IdentifierTypeStateIssuer
A00100346MedicaidCA

Other providers in Boise, ID

All providers in Boise, ID · Family Medicine Physician in Idaho

Sources for this page

Verify at the official NPI Registry.