Organization Active NPI

Idaho Concierge Medicine LLC

  • Adult Medicine Physician
  • Boise, ID
National Provider Identifier
1013712330
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
IDAHO CONCIERGE MEDICINE LLC
Practice address
11696 W Gabrielle CT # 83713
Boise, ID 83713-7812
Phone
(208) 314-1325
NPI assigned
Feb 19, 2025
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sabrina Bojo, AGNP-CNPI 1194356022
Title
Nurse Practitioner
Phone
(208) 314-1325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

11696 W Gabrielle CT # 83713
Boise, ID 83713-7812

Mailing address

11696 W Gabrielle CT # 83713
Boise, ID 83713-7812
Phone (208) 314-1325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250514000544 ID Part B Supplier - Clinic/Group Practice 5092233007 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2212281Idaho Concierge Medicine LLC11696 W Gabrielle CT, Boise, ID 83713Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1013712330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11696 W GABRIELLE CT # 83713",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837137812",
            "telephone_number": "208-314-1325",
            "fax_number": "866-369-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11696 W GABRIELLE CT # 83713",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837137812",
            "telephone_number": "208-314-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO CONCIERGE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "BOJO",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "208-314-1325",
        "authorized_official_credential": "AGNP-C"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.