Jenna Silakoski, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O-1254 Issued in ID

Practice address

8880 N Hess St Ste 1
Hayden, ID 83835-8716

Phone

(208) 772-5204

Fax

(208) 772-5275

NPI assigned

Jun 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 23, 2019 through Oct 23, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• North Idaho DPC, PLLC

  • Family Medicine Physician
  • Hayden, ID
  • NPI 1124974092
  NPD Authorized official

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1689936882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 N HESS ST STE 1",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358716",
            "telephone_number": "208-772-5204",
            "fax_number": "208-772-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 N HESS ST STE 1",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358716",
            "telephone_number": "208-772-5204",
            "fax_number": "208-772-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILAKOSKI",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-1254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jett Scrimsher, OD
• Selkirk Diagnostics, LLC
• Sensory Squad OT LLC
• Kevin John Sgroi, P.T.
• Tod Alan Sijan, PA-C
• Erin Simkins
• Andrew Simnhoung
• Marie Singleton
• Colleen Irene Sisk, BCBA
• Siskiyou Living LLC

• Family Medicine Physician in Hayden, ID
• Providers in Hayden, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.