Jacqueline Kelly, M.D.
NPI 1104169283 · Internal Medicine Physician · Boise, ID
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Kelly, M.D. is a Internal Medicine Physician provider in Boise, ID (NPI 1104169283).
Provider details
- NPI number
- 1104169283
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MRM-1350 (ID)
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
13 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefpodoxime Proxetil | 16 | 16 |
| Doxycycline Monohydrate | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-03-27
- Last updated
- 2021-12-21
Frequently asked questions
- What is Jacqueline Kelly's NPI number?
- Jacqueline Kelly's National Provider Identifier (NPI) is 1104169283, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Kelly's specialty?
- Jacqueline Kelly is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jacqueline Kelly located?
- Jacqueline Kelly's practice location on file with NPPES is 500 W Fort St # 111, Boise, ID 83702-4501.
- What is Jacqueline Kelly's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Kelly is (208) 422-1314.
- Does Jacqueline Kelly accept Medicare?
- Jacqueline Kelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Kelly's NPI active?
- Yes — Jacqueline Kelly's NPI (1104169283) is active in the NPPES registry as of the last update on 2021-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.