IndividualActive
Jacob Christensen, D.O.
NPI 1407237043 · Sports Medicine (Family Medicine) Physician · Meridian, ID
Provider details
- NPI number
- 1407237043
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- O-1305 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
867 S Vanguard Way
Meridian, ID 83642-7552
Phone: (208) 302-7950
Street-level locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Additional practice locations (2)
- 2500 W a St Ste 101Moscow, ID 83843-6000Phone: (208) 882-0540Fax: (208) 883-1853
- 1806 W Lincoln AveYakima, WA 98902-2473Phone: (509) 452-4520Fax: (509) 452-5224
Registry dates
- Enumerated
- 2015-06-09
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.