AURUM LLC
NPI 1104705953
Nurse Practitioner - Gerontology in Boise, ID

Active since August 27, 2025
11696 W GABRIELLE CT, BOISE, ID 83713(718) 362-1411(718) 362-1651 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Aurum Llc NPPES

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

AURUM LLC (NPI 1104705953) is a healthcare organization registered as a gerontology in Boise, Idaho and active in the NPI registry since August 2025. The organization lists Sabrina Bojo, Owner, as its authorized official.

NPPES Registry Identity

NPI1104705953
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameAURUM LLC
Location Address11696 W GABRIELLE CTBoise, ID 83713-7812
Mailing Address612 Corporate Way Ste 2mValley Cottage, NY 10989-2027 · (718) 362-1411 · Fax (718) 362-1651
Fax(718) 362-1651
Organization SubpartNo
Authorized OfficialSabrina BojoOwner · (718) 362-1411
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1104705953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
11696 W GABRIELLE CT, Boise, ID 83713

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aurum Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Aurum LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1194356022
11696 W GABRIELLE CT
Boise, ID 83713
(208) 600-3463
✔ PECOS✔ Accepts MedicareSame address

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 Aurum LLC's NPI number?

The NPI number for Aurum LLC is 1104705953. It was assigned to this organization in the NPPES registry on August 27, 2025.

Where is Aurum LLC located?

Aurum LLC is located at 11696 W Gabrielle Ct, Boise, ID 83713. The listed phone number is (718) 362-1411.

What is Aurum LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Aurum LLC enrolled in Medicare?

Yes. Aurum LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aurum LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Aurum LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Aurum LLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.