DR. REBECCA L JERGENSON DC, EMT
NPI 1083128151
Chiropractor in Boise, ID
About Dr. Rebecca L Jergenson Dc, Emt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. REBECCA L JERGENSON DC, EMT (NPI 1083128151) is an individual chiropractor in Boise, Idaho, licensed in Idaho (CHIA-1812) and active in the NPI registry since November 2017.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Rebecca L Jergenson Dc, Emt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rebecca Jergenson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salmon, ID 83467
- Reassigned Medicare billing, Idaho enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Rebecca Jergenson's NPI number?
The NPI number for Rebecca Jergenson is 1083128151. It was assigned to this individual provider in the NPPES registry on November 27, 2017.
Where is Rebecca Jergenson located?
Rebecca Jergenson practices at 1625 W State St # 100, Boise, ID 83702. The listed phone number is (208) 336-0017.
What is Rebecca Jergenson's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Rebecca Jergenson enrolled in Medicare?
Yes. Rebecca Jergenson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rebecca Jergenson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Jergenson reassigns Medicare benefits to Salmon River Chiropractic Inc. (Salmon, ID). The 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 Rebecca Jergenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rebecca Jergenson was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Rebecca L Jergenson, DC, EMT · NPI 1083128151
Chiropractor provider in Boise, Idaho. Individual provider, active in the CMS NPPES registry since November 27, 2017.
## Identity
- **NPI:** 1083128151 (Entity type: Individual)
- **Enumerated:** November 27, 2017
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CHIA-1812 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1625 W STATE ST # 100, Boise, ID 83702-4041
- **Phone:** (208) 336-0017
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Salmon River Chiropractic Inc. (NPI 1225068059, Salmon, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083128151) · Data from the CMS NPPES public registry.