DR. KENNETH LEIF NATHANIEL SJOREN DO
NPI 1093208134
Obstetrics & Gynecology in Nampa, ID

Q: What is Kenneth Leif Sjoren's NPI number?

The NPI number for Kenneth Leif Sjoren is 1093208134. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Q: What is Kenneth Leif Sjoren's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment

9850 W ST LUKES DR STE 229, NAMPA, ID 83687(208) 205-7700(208) 205-7701 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 14, 2026, May 5, 2025, Jan 3, 2025 and 3 more (6 updates tracked since 2018).

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About Dr. Kenneth Leif Nathaniel Sjoren Do NPPES

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

DR. KENNETH LEIF NATHANIEL SJOREN DO (NPI 1093208134) is an individual obstetrics & gynecology provider in Nampa, Idaho, licensed in Idaho (O-1672) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with St Luke's Nampa Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093208134

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. KENNETH LEIF NATHANIEL SJORENCredential: DO

Location Address9850 W ST LUKES DR STE 229Nampa, ID 83687-7912

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-8866

Phone(208) 205-7700

Fax(208) 205-7701

Sole ProprietorYes

Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2018

Enumeration DateJune 13, 2018

Last NPPES UpdateJune 23, 20266 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1093208134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in ID · O-1672✔ Licensed in OR · DO219324

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

9850 W ST LUKES DR STE 229, Nampa, ID 83687

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Secondary Practice Locations 2

Location 1840 SW 4th Ave Ste 105Ontario, OR 97914-2638 · Phone (541) 881-2800 · Fax (541) 881-2825

Location 2207 E 12th StEmmett, ID 83617-3626 · Phone (208) 365-1065 · Fax (208) 365-1068

Other Identifiers 1

Medicaid500835019OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth Leif Nathaniel Sjoren Do 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 ID2466832795

PECOS Enrollment IDI20220705002056, I20240528001602

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.

Medicare Billing Reassignments

Medicare enrollment records show Kenneth Leif Sjoren reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Family Health Care, Inc

18 mi

Federally Qualified Health Center (FQHC)

207 E 12TH ST
Emmett, ID 83617

Reassigned Medicare billing, Idaho and Oregon enrollments
Also billed through NPI 1083641310 (Oregon)
42 clinicians in this Medicare group

NPI 1932139995 (208) 365-1065

Vannvei LLC

194 mi

Multi-Specialty

1522 17TH ST
Lewiston, ID 83501

Reassigned Medicare billing, Idaho enrollment
32 clinicians in this Medicare group

NPI 1881200517 (208) 743-8416

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Saint Alphonsus Medical Center - Ontario

Acute Care Hospitals · Ontario, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380052

Location351 SW 9th StreetOntario, OR 97914 · Malheur County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83687 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARK B CLINGER MD - FAMILY PRACTICE

Family Medicine

9850 W ST LUKES DR STE 229
NAMPA, ID 83687

Canyon County (208) 463-3000

BONNIE ALAINE WALSER RIVAS CNM

Advanced Practice Midwife

9850 W ST LUKES DR STE 229
NAMPA, ID 83687

Canyon County (208) 706-3220

CORTNEY LYNN SCHNUPP CNM

Nurse Practitioner (Obstetrics & Gynecology)

9850 W ST LUKES DR STE 229
NAMPA, ID 83687

Canyon County (208) 463-3000

CALLIE ROSE BLAIR D.O.

Obstetrics & Gynecology

9850 W ST LUKES DR STE 229
NAMPA, ID 83687

Canyon County (208) 205-7700

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 Kenneth Leif Sjoren's NPI number?

The NPI number for Kenneth Leif Sjoren is 1093208134. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Kenneth Leif Sjoren located?

Kenneth Leif Sjoren practices at 9850 W St Lukes Dr Ste 229, Nampa, ID 83687. The listed phone number is (208) 205-7700.

What is Kenneth Leif Sjoren's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kenneth Leif Sjoren enrolled in Medicare?

Yes. Kenneth Leif Sjoren 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.

Which organizations bill Medicare for Kenneth Leif Sjoren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Leif Sjoren reassigns Medicare benefits to 2 organizations: Valley Family Health Care, Inc (Emmett, ID) and Vannvei LLC (Lewiston, ID). Each 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 Kenneth Leif Sjoren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Leif Sjoren accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon and 1 other insurer list Kenneth Leif Sjoren 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.

Is Kenneth Leif Sjoren affiliated with any hospitals?

According to CMS data, Kenneth Leif Sjoren is affiliated with St Luke's Nampa Medical Center and Saint Alphonsus Medical Center - Ontario.

When was this NPI record last updated?

The NPPES record for Kenneth Leif Sjoren was last updated on June 23, 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.