NPIMap

Individual provider Active NPI

Victoria Jaeger, DO

  • Gastroenterology Physician
  • Nampa, ID
National Provider Identifier
1770938318
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0-1788 Issued in ID
Practice address
1200 Garrity Blvd
Nampa, ID 83687-3402
Phone
(208) 343-6458
NPI assigned
May 2, 2016
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0-1788 ID Primary

Addresses

Primary practice location

1200 Garrity Blvd
Nampa, ID 83687-3402

Mailing address

1200 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 343-6458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830001365 ID Practitioner - GastroenterologyPractitioner - Internal Medicine 4789965666 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Gastroenterology Associates LLPGroup PAC ID 6002708773, 35 clinicians

Practice addresses (Care Compare)

1200 Garrity Blvd
Nampa, ID 83687-3402
Phone (208) 489-1431

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy112
Upper gastrointestinal (GI) endoscopy for acid reflux166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0-1788IDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boise Endoscopy Center LLC CurrentSince Aug 1, 2023 Accepting new patients
Idaho Gastroenterology Associates, LLP Gastroenterology CurrentSince Aug 1, 2023 Accepting new patients
Boise Endoscopy Center, LLC CurrentSince Aug 1, 2023 Accepting new patients
Boise Endoscopy Center, LLC CurrentSince Aug 1, 2023 Accepting new patients
Southern Idaho Health Partners LLC Past Accepting new patients

Locations

425 W Bannock St
Boise, ID 83702
Phone (208) 343-1702

2235 E Gala St
Meridian, ID 83642
Phone (208) 489-1431

875 S Vanguard Way
Ste 300
Meridian, ID 83642
Phone (208) 488-0066

875 S Vanguard Way
Ste 310
Meridian, ID 83642
Phone (208) 343-6458

1200 Garrity Blvd
Nampa, ID 83687
Phone (208) 343-6458

1216 Garrity Blvd
Nampa, ID 83687
Phone (208) 342-7169

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 8

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1770938318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GARRITY BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873402",
            "telephone_number": "208-343-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GARRITY BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873402",
            "telephone_number": "208-343-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ID",
            "license": "0-1788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.