1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Neuromusculoskeletal Medicine Sports Medicine
  6. NPI Profile

IDAHO SPORTS MEDICINE INSTITUTE PA
NPI 1154356624
Neuromusculoskeletal Medicine, Sports Medicine in Boise, ID

Active since July 12, 2006CLIA 13D2106073 · Microscopy
1188 UNIVERSITY DR, BOISE, ID 83706(208) 336-8250(208) 345-9514 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Idaho Sports Medicine Institute Pa NPPES

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

IDAHO SPORTS MEDICINE INSTITUTE PA (NPI 1154356624) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Boise, Idaho and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through October 6, 2027 and lists Jennifer R. Millier, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1154356624
Entity TypeOrganization
Primary Taxonomy204C00000X
Legal Business NameIDAHO SPORTS MEDICINE INSTITUTE PA
Location Address1188 UNIVERSITY DRBoise, ID 83706-3009
Mailing Address1188 W University DrBoise, ID 83706-3009 · (208) 336-8250 · Fax (208) 345-9514
Phone(208) 336-8250
Fax(208) 345-9514
Organization SubpartNo
Authorized OfficialJennifer R. MillierOwner/partner · (208) 336-8250
Enumeration DateJuly 12, 2006
Last NPPES UpdateJanuary 6, 2026
NPPES CertifiedJanuary 6, 2026
✔ NPI 1154356624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
License✔ Licensed · N/A FOR GROUP
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
1188 UNIVERSITY DR, Boise, ID 83706
Open in Google Maps ↗

Other Identifiers 3

Medicaid805993900ID
OtherREGENCE BLUE SHIELDID · Group # 29145
Other8628-0ID · Blue Cross Of Idaho Group

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

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idaho Sports Medicine Institute Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Idaho Sports Medicine Institute PA, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Physical Therapist in Private Practice6
Orthopedic Surgery4
Family Practice1
Sports Medicine1

Clinicians, nearest first (12)

Lindsay Freeborn, PT
Physical Therapist in Private Practice
NPI 1124005095
1188 W UNIVERSITY DR
Boise, ID 83706
(208) 345-4446
✔ Accepts MedicareSame address
Christopher Hansen, D.P.T.
Physical Therapist in Private Practice
NPI 1346533478
1188 W UNIVERSITY DR
Boise, ID 83706
(208) 336-8250
✔ Accepts MedicareSame address
Lisa Swan, PT949
Physical Therapist in Private Practice
NPI 1275603086
1188 W UNIVERSITY DR STE 230
Boise, ID 83706
(208) 336-8250
✔ Accepts MedicareSame address
Jay Armstrong, MPT
Physical Therapist in Private Practice
NPI 1447256086
1188 W UNIVERSITY DR
Boise, ID 83706
(208) 336-8250
✔ Accepts MedicareSame address
Sara Boss, DPT
Physical Therapist in Private Practice
NPI 1982033270
1188 W UNIVERSITY DR
Boise, ID 83706
(208) 336-8250
✔ Accepts MedicareSame address
Andrew Curran, DO
Orthopedic Surgery
NPI 1093705071
1188 W UNIVERSITY DR
Boise, ID 83706
(208) 336-8250
✔ PECOS✔ Accepts MedicareSame address
Jennifer Hoaglun, DPT, ATC
Physical Therapist in Private Practice
NPI 1114367745
1188 W UNIVERSITY DR
Boise, ID 83706
(208) 336-8250
✔ Accepts MedicareSame address
Kirk Lewis, MD
Orthopedic Surgery
NPI 1033115803
1188 UNIVERSITY DR
Boise, ID 83706
(208) 336-8250
✔ PECOSSame address
Jennifer Miller, MD
Orthopedic Surgery
NPI 1245236983
1188 UNIVERSITY DR
Boise, ID 83706
(208) 336-8250
✔ PECOS✔ Accepts MedicareSame address
Scot Scheffel, MD
Sports Medicine
NPI 1043216823
1188 UNIVERSITY DR
Boise, ID 83706
(208) 336-8250
✔ PECOS✔ Accepts MedicareSame address
Nathan Grimm, M.D.
Orthopedic Surgery
NPI 1417376344
1188 W UNIVERSITY DR
Boise, ID 83706
(208) 336-8250
✔ PECOS✔ Accepts MedicareSame address
Jaclyn Cooperrider, MD
Family Practice
NPI 1518372846
325 W IDAHO ST
Boise, ID 83702
(208) 514-2525
✔ PECOS✔ Accepts Medicare0.8 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D2106073

Idaho Sports Medicine Institute · Boise, ID
Active · expires Oct 6, 2027
CLIA Number13D2106073
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorJaclyn M. Cooperrider
Laboratory Phone(208) 336-8250
Laboratory LocationIdaho Sports Medicine Institute1188 W University Dr, Boise, ID 83706
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Idaho Sports Medicine Institute PA's NPI number?

The NPI number for Idaho Sports Medicine Institute PA is 1154356624. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Idaho Sports Medicine Institute PA located?

Idaho Sports Medicine Institute PA is located at 1188 University Dr, Boise, ID 83706. The listed phone number is (208) 336-8250.

What is Idaho Sports Medicine Institute PA's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Is Idaho Sports Medicine Institute PA enrolled in Medicare?

Yes. Idaho Sports Medicine Institute PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho Sports Medicine Institute PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Idaho Sports Medicine Institute PA. 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. The largest specialties are Physical Therapist in Private Practice (6), Orthopedic Surgery (4) and Family Practice (1). Of these, 10 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Idaho Sports Medicine Institute PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D2106073) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Idaho Sports Medicine Institute PA accept?

Health plans from Moda Health Plan, Inc. list Idaho Sports Medicine Institute PA 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 Idaho Sports Medicine Institute PA was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.