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DR. JUSTINE CALZACORTA FNP-C
NPI 1124750880
Nurse Practitioner - Family in Boise, ID

Active since June 29, 2022PECOS Enrolled
500 W FORT ST, BOISE, ID 83702(208) 422-1000 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2022, Aug 24, 2022 (2 updates tracked since 2022).

About Dr. Justine Calzacorta Fnp-c NPPES

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

DR. JUSTINE CALZACORTA FNP-C (NPI 1124750880) is an individual family provider in Boise, Idaho, licensed in Idaho (53730) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124750880
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. JUSTINE CALZACORTACredential: FNP-C
Location Address500 W FORT STBoise, ID 83702-4501
Mailing Address500 W Fort StBoise, ID 83702-4501 · (208) 422-1000
Phone(208) 422-1000
Sole ProprietorNo
Enumeration DateJune 29, 2022
Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
✔ NPI 1124750880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · 53730
500 W FORT ST, Boise, ID 83702
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justine Calzacorta Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 83702 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
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
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 20

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

JESSICA ANN BERNOTSKI RDH
Dental Hygienist
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
ROBERT FISHER
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1092
LUKE DANIEL HANSEN MD
Psychiatry & Neurology (Psychiatry)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
CHRISTOPHER M GUTIERREZ
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
DR. MICHAEL GLOVER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
500 W FORT ST, MAIL CODE #112
BOISE, ID 83702
Ada County (208) 422-1000
DR. ANN DECKER TROTTER PHD
Psychologist (Clinical)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
REBECCA COTTERELL RN-BC, BSN
Registered Nurse
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
PHILIP RESIN ELACKATT RN
Registered Nurse (Pain Management)
500 W FORT ST
BOISE, ID 83702
Ada County (986) 256-1766

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 Justine Calzacorta's NPI number?

The NPI number for Justine Calzacorta is 1124750880. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Justine Calzacorta located?

Justine Calzacorta practices at 500 W Fort St, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Justine Calzacorta's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Justine Calzacorta enrolled in Medicare?

Yes. Justine Calzacorta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justine Calzacorta was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.