Individual provider Active NPI

Jesse Dylan Chlebeck, M.D.

  • Orthopaedic Surgery Physician
  • Nampa, ID
National Provider Identifier
1073879185
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M-14245 Issued in ID
Practice address
9850 W St Lukes Dr Ste 215
Nampa, ID 83687-7912
Phone
(208) 706-2663
Fax
(208) 489-4300
NPI assigned
Apr 3, 2012
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M-14245 ID Primary
Orthopaedic Surgery Physician 207X00000X A148489 CA
Orthopaedic Trauma Physician 207XX0801X M-14245 ID
Orthopaedic Trauma Physician 207XX0801X A148489 CA

Addresses

Primary practice location

9850 W St Lukes Dr Ste 215
Nampa, ID 83687-7912

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-8866

Other practice location 1

875 S Vanguard Way
Meridian, ID 83642-8540
Phone (208) 463-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jesse.chlebeck@sal.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170717000027 CA Practitioner - Orthopedic Surgery 4587965934 Reassigns benefits to 1 organization
I20180725003971 ID Practitioner - Orthopedic Surgery 4587965934 Reassigns benefits to 1 organization
I20180814001892 TX Practitioner - Orthopedic Surgery 4587965934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Trauma Surgeons of Northern CaliforniaGroup PAC ID 5698781938, 16 clinicians
Orthopaedic Trauma Consultants of IdahoGroup PAC ID 8527400720, 2 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 781-1000

6620 Coyle Ave
Suite 212
Carmichael, CA 95608-6337
Phone 91653694556

875 S Vanguard Way
Suite 110
Meridian, ID 83642-8541
Phone (208) 595-4440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement16
Knee replacement27
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Trauma Consultants of Idaho Orthopaedic Surgery CurrentSince Nov 5, 2019 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 27, 2018 Accepting new patients
Orthopedic Trauma Surgeons of Northern California Orthopaedic Trauma CurrentSince Aug 1, 2017 Accepting new patients
Southern Idaho Health Partners LLC CurrentSince Jan 1, 2020 Accepting new patients
Walter Knox Memorial Hospital Past Accepting new patients
Ten Mile Surgery Center, LLC PastSince Sep 25, 2024 Accepting new patients

Locations

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

6620 Coyle Ave
Ste 212
Carmichael, CA 95608
Phone (916) 536-9455

875 S Vanguard Way
Meridian, ID 83642
Phone (208) 373-5000

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

9850 W St Lukes Dr
Ste 129
Nampa, ID 83687
Phone (208) 205-7600

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBEDD/Endpoint/JJBEDD
  • Direct secure messaging: lyoussefi373042@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1073879185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 W ST LUKES DR STE 215",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836877912",
            "telephone_number": "208-706-2663",
            "fax_number": "208-489-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 S Vanguard Way",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836428540",
            "country_code": "US",
            "telephone_number": "208-463-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHLEBECK",
        "first_name": "JESSE",
        "middle_name": "DYLAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M-14245",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A148489",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "ID",
            "license": "M-14245",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "A148489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jesse.chlebeck@sal.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "875 S Vanguard Way",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836428540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.