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IDAHO CONCIERGE MEDICINE LLC
NPI 1013712330
Family Medicine - Adult Medicine in Boise, ID

Active since February 19, 2025CLIA 13D2212281 · Waiver
11696 W GABRIELLE CT # 83713, BOISE, ID 83713(208) 314-1325 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2026, Feb 19, 2025 (2 updates tracked since 2025).

About Idaho Concierge Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO CONCIERGE MEDICINE LLC (NPI 1013712330) is a healthcare organization registered as an adult medicine in Boise, Idaho and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through September 10, 2027 and lists Sabrina Bojo, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1013712330
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameIDAHO CONCIERGE MEDICINE LLC
Location Address11696 W GABRIELLE CT # 83713Boise, ID 83713-7812
Mailing Address11696 W Gabrielle Ct # 83713Boise, ID 83713-7812 · (208) 314-1325 · Fax (866) 369-1643
Phone(208) 314-1325
Organization SubpartNo
Authorized OfficialSabrina BojoNurse Practitioner · (208) 314-1325
Enumeration DateFebruary 19, 2025
Last NPPES UpdateMarch 26, 20262 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1013712330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
11696 W GABRIELLE CT # 83713, Boise, ID 83713
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 13D2212281

Idaho Concierge Medicine LLC · Boise, ID
Active · expires Sep 10, 2027
CLIA Number13D2212281
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorSabrina Bojo
Laboratory Phone(208) 314-1325
Laboratory LocationIdaho Concierge Medicine LLC11696 W Gabrielle Ct, Boise, ID 83713
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Idaho Concierge Medicine LLC's NPI number?

The NPI number for Idaho Concierge Medicine LLC is 1013712330. It was assigned to this organization in the NPPES registry on February 19, 2025.

Where is Idaho Concierge Medicine LLC located?

Idaho Concierge Medicine LLC is located at 11696 W Gabrielle Ct # 83713, Boise, ID 83713. The listed phone number is (208) 314-1325.

What is Idaho Concierge Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Idaho Concierge Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2212281) is associated with this NPI, valid through September 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Idaho Concierge Medicine LLC was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.