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ALICE RACHEL JESSUP
NPI 1023745411
Physician Assistant in Boise, ID

Active since August 04, 2022PECOS EnrolledAccepts Medicare Assignment
3395 E WINDSONG DR, BOISE, ID 83712(208) 972-6117 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alice Rachel Jessup NPPES

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

ALICE RACHEL JESSUP (NPI 1023745411) is an individual physician assistant in Boise, Idaho and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023745411
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALICE RACHEL JESSUP
Location Address3395 E WINDSONG DRBoise, ID 83712-8595
Mailing Address3395 E Windsong DrBoise, ID 83712-8595 · (208) 972-6117
Phone(208) 972-6117
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 4, 2022
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1023745411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3395 E WINDSONG DR, Boise, ID 83712
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alice Rachel Jessup is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113456468
PECOS Enrollment IDI20250130003809
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alice Jessup's NPI number?

The NPI number for Alice Jessup is 1023745411. It was assigned to this individual provider in the NPPES registry on August 4, 2022.

Where is Alice Jessup located?

Alice Jessup practices at 3395 E Windsong Dr, Boise, ID 83712. The listed phone number is (208) 972-6117.

What is Alice Jessup's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alice Jessup enrolled in Medicare?

Yes. Alice Jessup is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alice Jessup accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Alice Jessup 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 Alice Jessup was last updated on August 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.