Individual provider Active NPI

Jeffrey Glenn Hessing, M.D.

  • Orthopaedic Surgery Physician
  • Boise, ID
National Provider Identifier
1023068194
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M4907 Issued in ID
Practice address
8854 W Emerald St
Suite 140
Boise, ID 83704-4844
Phone
(208) 327-4790
Fax
(208) 367-4888
NPI assigned
May 11, 2006
Last updated
Oct 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M4907 ID Primary

Addresses

Primary practice location

8854 W Emerald St
Suite 140
Boise, ID 83704-4844

Mailing address

8854 W Emerald St
Ste 140
Boise, ID 83704-4845
Phone (208) 321-4790

Other identifiers 4

IdentifierTypeStateIssuer
003748000MedicaidID
49072OtherIDBLUE CROSS
000010005805OtherIDREGENCE BLUE SHIELD
P00297173OtherIDTRAVELERS MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000315 ID Practitioner - Orthopedic Surgery 5294784823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Surgical Associates PAGroup PAC ID 9133178767, 9 clinicians

Practice addresses (Care Compare)

8854 W Emerald St
Suite 140
Boise, ID 83704-4845
Phone (208) 321-4790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M4907IDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Medical Group of Idaho LLC CurrentSince Sep 22, 2023 Accepting new patients
Capital Surgical Associates, PA Orthopaedic Surgery CurrentSince Jan 1, 2005 Accepting new patients
Orthopedic Centers of Idaho P a Orthopaedic Surgery Past Accepting new patients

Locations

8854 W Emerald St
Ste 140
Boise, ID 83704
Phone (208) 321-4790

901 N Curtis Rd
Ste 501
Boise, ID 83706
Phone (208) 302-3900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEHCDD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1023068194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8854 W EMERALD ST",
            "address_2": "STE 140",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044845",
            "telephone_number": "208-321-4790",
            "fax_number": "208-321-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8854 W EMERALD ST",
            "address_2": "SUITE 140",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044844",
            "telephone_number": "208-327-4790",
            "fax_number": "208-367-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSING",
        "first_name": "JEFFREY",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M4907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003748000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "49072",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010005805",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00297173",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.