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DR. JACKIE J WHITESELL MD
NPI 1346367984
Psychiatry & Neurology - Neurology in Boise, ID

Active since March 26, 2007PECOS EnrolledAccepts Medicare Assignment
1072 N LIBERTY ST, SUITE 303, BOISE, ID 83704(208) 367-2800(208) 367-7111 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jackie J Whitesell Md NPPES

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

DR. JACKIE J WHITESELL MD (NPI 1346367984) is an individual neurology provider in Boise, Idaho, licensed in Idaho (M-11022) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Indiana University School Of Medicine (2004).

NPPES Registry Identity

NPI1346367984
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JACKIE J WHITESELLCredential: MD
Location Address1072 N LIBERTY ST, SUITE 303Boise, ID 83704-2800
Mailing Address3340 E Goldstone WayMeridian, ID 83642-1026 · (208) 367-5170 · Fax (208) 367-5180
Phone(208) 367-2800
Fax(208) 367-7111
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2004
Enumeration DateMarch 26, 2007
Last NPPES UpdateApril 23, 2014
✔ NPI 1346367984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in ID · M-11022
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1072 N LIBERTY ST, Boise, ID 83704
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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.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

Dr. Jackie J Whitesell Md 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 ID4587718176
PECOS Enrollment IDI20100714000994
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
148 services94 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services79 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Ontario

Acute Care Hospitals · Ontario, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380052
Location351 SW 9th StreetOntario, OR 97914 · Malheur County
Emergency services

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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cough stimulating device, alternating positive and negative airway pressure E0482
DME-Other DME · category DE000N
3 suppliers18 claims18 services$359.21 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
3 suppliers16 claims16 services$39.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BRUCE J ANDERSEN MD
Neurological Surgery
1072 N LIBERTY ST, SUITE 303
BOISE, ID 83704
Ada County (208) 367-4035
COLIN ALAN LYNESS MD
Psychiatry & Neurology (Neurology)
1072 N LIBERTY ST, STE 303
BOISE, ID 83704
Ada County (208) 302-4200
DR. JULIANA L DIGIOSIA MD
Obstetrics & Gynecology
1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704
Ada County (208) 302-1200
SHANA L TUBACH MD
Pediatrics
1072 N LIBERTY ST, SUITE 203
BOISE, ID 83704
Ada County (208) 302-5800
DR. REBECCA L MCCAFFREY MD
Obstetrics & Gynecology
1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704
Ada County (208) 302-1200
TREASURE VALLEY COLON & RECTAL CLINIC PLLC
Colon & Rectal Surgery
1072 N LIBERTY ST, SUITE 201
BOISE, ID 83704
Ada County (208) 377-2273
KARISSA DEANN KEENAN M.D.
Obstetrics & Gynecology
1072 N LIBERTY ST, STE 100
BOISE, ID 83704
Ada County (208) 302-1200
DR. SARA B THOMSON MD
Hospitalist
1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704
Ada County (208) 367-4321

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 Jackie Whitesell's NPI number?

The NPI number for Jackie Whitesell is 1346367984. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Jackie Whitesell located?

Jackie Whitesell practices at 1072 N Liberty St Suite 303, Boise, ID 83704. The listed phone number is (208) 367-2800.

What is Jackie Whitesell's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jackie Whitesell enrolled in Medicare?

Yes. Jackie Whitesell 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 Jackie Whitesell accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Jackie Whitesell 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 Jackie Whitesell affiliated with any hospitals?

According to CMS data, Jackie Whitesell is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa and Saint Alphonsus Medical Center - Ontario.

When was this NPI record last updated?

The NPPES record for Jackie Whitesell was last updated on April 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.