Idaho Sports Medicine Institute PA
NPI 1154356624 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Idaho Sports Medicine Institute PA is a Sports Medicine (Neuromusculoskeletal Medicine) Physician organization in Boise, ID (NPI 1154356624).
Provider details
- NPI number
- 1154356624
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Millier, Owner/Partner(208) 336-8250
- License
- N/A FOR GROUP
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
20 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
- 2006-07-12
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Frequently asked questions
- What is Idaho Sports Medicine Institute PA's NPI number?
- Idaho Sports Medicine Institute PA's National Provider Identifier (NPI) is 1154356624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Sports Medicine Institute PA?
- Idaho Sports Medicine Institute PA is classified in the NPPES registry as Sports Medicine (Neuromusculoskeletal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Idaho Sports Medicine Institute PA located?
- Idaho Sports Medicine Institute PA's practice location on file with NPPES is 1188 University Dr, Boise, ID 83706-3009.
- What is Idaho Sports Medicine Institute PA's phone number?
- The practice phone number listed in the NPPES registry for Idaho Sports Medicine Institute PA is (208) 336-8250.
- Does Idaho Sports Medicine Institute PA accept Medicare?
- Idaho Sports Medicine Institute PA 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 Idaho Sports Medicine Institute PA?
- The authorized official listed on Idaho Sports Medicine Institute PA's NPPES record is Jennifer Millier, Owner/Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Sports Medicine Institute PA's NPI active?
- Yes — Idaho Sports Medicine Institute PA's NPI (1154356624) is active in the NPPES registry as of the last update on 2026-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.