RIVERSIDE PRIMARY CARE ADULT AND GERIATRIC MEDICINE PLLLP
NPI 1003693961
Family Medicine - Geriatric Medicine in Boise, ID
About Riverside Primary Care Adult And Geriatric Medicine Plllp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVERSIDE PRIMARY CARE ADULT AND GERIATRIC MEDICINE PLLLP (NPI 1003693961) is a healthcare organization registered as a geriatric medicine in Boise, Idaho and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Jessica Long, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Riverside Primary Care Adult And Geriatric Medicine Plllp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Riverside Primary Care Adult And Geriatric Medicine Plllp, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 13D2293730
Riverside Primary Care Adult & Geriatric Medicine · Boise, IDFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Riverside Primary Care Adult And Geriatric Medicine Plllp's NPI number?
The NPI number for Riverside Primary Care Adult And Geriatric Medicine Plllp is 1003693961. It was assigned to this organization in the NPPES registry on September 13, 2023.
Where is Riverside Primary Care Adult And Geriatric Medicine Plllp located?
Riverside Primary Care Adult And Geriatric Medicine Plllp is located at 1673 W Shoreline Dr Ste 100, Boise, ID 83702. The listed phone number is (208) 593-3054.
What is Riverside Primary Care Adult And Geriatric Medicine Plllp's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Riverside Primary Care Adult And Geriatric Medicine Plllp enrolled in Medicare?
Yes. Riverside Primary Care Adult And Geriatric Medicine Plllp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Riverside Primary Care Adult And Geriatric Medicine Plllp?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Riverside Primary Care Adult And Geriatric Medicine Plllp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Riverside Primary Care Adult And Geriatric Medicine Plllp hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2293730) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Riverside Primary Care Adult And Geriatric Medicine Plllp accept?
Health plans from Moda Health Plan, Inc. and Molina Healthcare list Riverside Primary Care Adult And Geriatric Medicine Plllp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Riverside Primary Care Adult And Geriatric Medicine Plllp was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Riverside Primary Care Adult And Geriatric Medicine Plllp · NPI 1003693961
Geriatric Medicine organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since September 13, 2023.
## Identity
- **NPI:** 1003693961 (Entity type: Organization)
- **Enumerated:** September 13, 2023
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Jessica Long, CO-OWNER
## Practice location
- **Address:** 1673 W SHORELINE DR STE 100, Boise, ID 83702-6749
- **Phone:** (208) 593-3054
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 13, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003693961) · Data from the CMS NPPES public registry.