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JESSICA SALLSTROM DO
NPI 1265967038
Family Medicine in Boise, ID

Active since April 28, 2017PECOS EnrolledAccepts Medicare Assignment
300 S 23RD ST, BOISE, ID 83702(208) 344-3512(208) 466-5359 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Sallstrom Do NPPES

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

JESSICA SALLSTROM DO (NPI 1265967038) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (MRO-1637) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265967038
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJESSICA SALLSTROMCredential: DO
Location Address300 S 23RD STBoise, ID 83702-9100
Mailing AddressPo Box 9Nampa, ID 83653-0009 · (208) 467-4431 · Fax (208) 466-5359
Phone(208) 344-3512
Fax(208) 466-5359
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 28, 2017
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1265967038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · MRO-1637
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.
300 S 23RD ST, Boise, ID 83702
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Sallstrom 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 ID2264702968
PECOS Enrollment IDI20201030001145
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.

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

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.

JOSEPH P DIGRAZIA LCPC
Counselor
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
MARY GOODSPEED PMHNP
Nurse Practitioner
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
MATTHEW WILSON MD
Family Medicine
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
KENDRA M LUTES LCPC
Counselor
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
MELISSA ANN MEZO LCSW
Social Worker (Clinical)
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
KATHRYN A WICK NP
Nurse Practitioner (Psychiatric/Mental Health)
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
BRIAN LEE COLLINS LMSW
Social Worker
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
DEVIN R PUGMIRE PSS
Peer Specialist
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512

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 Jessica Sallstrom's NPI number?

The NPI number for Jessica Sallstrom is 1265967038. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Jessica Sallstrom located?

Jessica Sallstrom practices at 300 S 23rd St, Boise, ID 83702. The listed phone number is (208) 344-3512.

What is Jessica Sallstrom's specialty?

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

Is Jessica Sallstrom enrolled in Medicare?

Yes. Jessica Sallstrom 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.

What insurance does Jessica Sallstrom accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Jessica Sallstrom 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 Jessica Sallstrom affiliated with any hospitals?

According to CMS data, Jessica Sallstrom is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Sallstrom was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.