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ALEXIS ANN ERICSSON MD
NPI 1265005961
Family Medicine in Boise, ID

Active since July 20, 2021PECOS Enrolled
777 N RAYMOND ST, BOISE, ID 83704(208) 514-2500(208) 375-2217 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Jul 20, 2021 (2 updates tracked since 2021).

About Alexis Ann Ericsson Md NPPES

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

ALEXIS ANN ERICSSON MD (NPI 1265005961) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (1681609) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1265005961
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALEXIS ANN ERICSSONCredential: MD
Location Address777 N RAYMOND STBoise, ID 83704-9251
Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500 · Fax (208) 375-2217
Phone(208) 514-2500
Fax(208) 375-2217
Sole ProprietorNo
Enumeration DateJuly 20, 2021
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1265005961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · 1681609
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-21-151846
777 N RAYMOND ST, Boise, ID 83704
Open in Google Maps ↗

Secondary Practice Location 1

Location 1525 E 4500 SSalt Lake City, UT 84107-2995 · Phone (801) 905-1153

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Ann Ericsson Md 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 83704 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.

TRACY ADAMS DO
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500
SARAH A HERSHMAN MD
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500
SUMMER E SZUMSKI DO
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500
MR. TOM C AHLRICHS LCSW
Social Worker (Clinical)
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 367-6044
DR. WINSLOW GREGORY GERRISH PHD
Psychologist (Clinical)
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500
JAMIE E O'NEILL MD
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500
OLIVIA G WIESE MD
Family Medicine
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500
SARAH CURTRIGHT NP
Nurse Practitioner
777 N RAYMOND ST
BOISE, ID 83704
Ada County (208) 514-2500

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 Alexis Ericsson's NPI number?

The NPI number for Alexis Ericsson is 1265005961. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Alexis Ericsson located?

Alexis Ericsson practices at 777 N Raymond St, Boise, ID 83704. The listed phone number is (208) 514-2500.

What is Alexis Ericsson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alexis Ericsson enrolled in Medicare?

Yes. Alexis Ericsson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexis Ericsson was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.