OrganizationActive
Southern Idaho Medicine PLLC
NPI 1861105694 · Clinic/Center · Jerome, ID
Southern Idaho Medicine PLLC is a Clinic/Center organization in Jerome, ID (NPI 1861105694).
Provider details
- NPI number
- 1861105694
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessicca Crismor, Owner(208) 308-7738
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
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
207 E Main St
Jerome, ID 83338-2334
Phone: (208) 308-7738
Street-level locationGet directions
Mailing address
137 Woodridge Dr
Twin Falls, ID 83301-8156
Registry dates
- Enumerated
- 2022-12-26
- Last updated
- 2022-12-26
- Certified
- 2022-12-25
Frequently asked questions
- What is Southern Idaho Medicine PLLC's NPI number?
- Southern Idaho Medicine PLLC's National Provider Identifier (NPI) is 1861105694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Idaho Medicine PLLC?
- Southern Idaho Medicine PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Idaho Medicine PLLC located?
- Southern Idaho Medicine PLLC's practice location on file with NPPES is 207 E Main St, Jerome, ID 83338-2334.
- What is Southern Idaho Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Idaho Medicine PLLC is (208) 308-7738.
- Who is the authorized official for Southern Idaho Medicine PLLC?
- The authorized official listed on Southern Idaho Medicine PLLC's NPPES record is Jessicca Crismor, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Idaho Medicine PLLC's NPI active?
- Yes — Southern Idaho Medicine PLLC's NPI (1861105694) is active in the NPPES registry as of the last update on 2022-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.