Riverside Primary Care Adult and Geriatric Medicine Plllp
NPI 1003693961 · Geriatric Medicine (Family Medicine) Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Riverside Primary Care Adult and Geriatric Medicine Plllp is a Geriatric Medicine (Family Medicine) Physician organization in Boise, ID (NPI 1003693961).
Provider details
- NPI number
- 1003693961
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Long, Co-Owner(208) 850-1940
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-13
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Frequently asked questions
- What is Riverside Primary Care Adult and Geriatric Medicine Plllp's NPI number?
- Riverside Primary Care Adult and Geriatric Medicine Plllp's National Provider Identifier (NPI) is 1003693961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Riverside Primary Care Adult and Geriatric Medicine Plllp?
- Riverside Primary Care Adult and Geriatric Medicine Plllp is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Riverside Primary Care Adult and Geriatric Medicine Plllp located?
- Riverside Primary Care Adult and Geriatric Medicine Plllp's practice location on file with NPPES is 1673 W Shoreline Dr Ste 100, Boise, ID 83702-6749.
- What is Riverside Primary Care Adult and Geriatric Medicine Plllp's phone number?
- The practice phone number listed in the NPPES registry for Riverside Primary Care Adult and Geriatric Medicine Plllp is (208) 593-3054.
- Does Riverside Primary Care Adult and Geriatric Medicine Plllp accept Medicare?
- Riverside Primary Care Adult and Geriatric Medicine Plllp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Riverside Primary Care Adult and Geriatric Medicine Plllp?
- The authorized official listed on Riverside Primary Care Adult and Geriatric Medicine Plllp's NPPES record is Jessica Long, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Riverside Primary Care Adult and Geriatric Medicine Plllp's NPI active?
- Yes — Riverside Primary Care Adult and Geriatric Medicine Plllp's NPI (1003693961) is active in the NPPES registry as of the last update on 2023-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.