KEYSTONE CENTER FOR GERIATRICS LLC
NPI 1376211268
Family Medicine - Geriatric Medicine in Boise, ID
About Keystone Center For Geriatrics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEYSTONE CENTER FOR GERIATRICS LLC (NPI 1376211268) is a healthcare organization registered as a geriatric medicine in Boise, Idaho and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Leonard Richard Jensen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Keystone Center For Geriatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Keystone Center For Geriatrics LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
Ketchum, ID 83340
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 of Waiver 13D2304479
Keystone Center For Geriatrics · Boise, IDFrequently 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 Keystone Center For Geriatrics LLC's NPI number?
The NPI number for Keystone Center For Geriatrics LLC is 1376211268. It was assigned to this organization in the NPPES registry on September 3, 2021.
Where is Keystone Center For Geriatrics LLC located?
Keystone Center For Geriatrics LLC is located at 305 W Bannock St, Boise, ID 83702. The listed phone number is (208) 514-0670.
What is Keystone Center For Geriatrics LLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Keystone Center For Geriatrics LLC enrolled in Medicare?
Yes. Keystone Center For Geriatrics LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Keystone Center For Geriatrics LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Keystone Center For Geriatrics LLC. 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 Nurse Practitioner (6), Internal Medicine (3) and Geriatric Medicine (2). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Keystone Center For Geriatrics LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2304479) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Keystone Center For Geriatrics LLC accept?
Health plans from Moda Health Plan, Inc. and Molina Healthcare list Keystone Center For Geriatrics LLC 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 Keystone Center For Geriatrics LLC was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Keystone Center For Geriatrics Llc · NPI 1376211268
Geriatric Medicine organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since September 3, 2021.
## Identity
- **NPI:** 1376211268 (Entity type: Organization)
- **Enumerated:** September 3, 2021
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Leonard Jensen, OWNER
## Practice location
- **Address:** 305 W BANNOCK ST, Boise, ID 83702-6033
- **Phone:** (208) 514-0670
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Internal Medicine (3), Geriatric Medicine (2); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376211268) · Data from the CMS NPPES public registry.