Individual provider Active NPI

Sabrina Bojo, AGNP

  • Gerontology Nurse Practitioner
  • Boise, ID
National Provider Identifier
1194356022
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AG01200124 Issued in ID
Practice address
11696 W Gabrielle CT
Boise, ID 83713-7812
Phone
(208) 600-3463
Fax
(866) 369-1643
NPI assigned
Jan 29, 2020
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AG01200124 ID Primary

Addresses

Primary practice location

11696 W Gabrielle CT
Boise, ID 83713-7812

Mailing address

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

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514000601 ID Practitioner - Nurse Practitioner 6901324912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Boise, ID 83713
Phone (208) 314-1325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AG01200124IDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurum LLC Gerontology CurrentSince Sep 3, 2025 Accepting new patients
Idaho Concierge Medicine LLC CurrentSince Mar 18, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1194356022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11696 W GABRIELLE CT",
            "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",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837137812",
            "telephone_number": "208-600-3463",
            "fax_number": "866-369-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJO",
        "first_name": "SABRINA",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ID",
            "license": "AG01200124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.