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JACOB LEON ERICKSON DMD
NPI 1407738289
Dentist - General Practice in Nampa, ID

Active since July 23, 2025PECOS Enrolled
11136 MOSS LN, NAMPA, ID 83651(208) 466-0515(208) 466-5359 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Leon Erickson Dmd NPPES

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

JACOB LEON ERICKSON DMD (NPI 1407738289) is an individual general practice provider in Nampa, Idaho, licensed in Idaho (8971560) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1407738289
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB LEON ERICKSONCredential: DMD
Location Address11136 MOSS LNNampa, ID 83651-8015
Mailing AddressPo Box 9Nampa, ID 83653-0009 · (208) 467-4431 · Fax (208) 466-5359
Phone(208) 466-0515
Fax(208) 466-5359
Sole ProprietorNo
Enumeration DateJuly 23, 2025
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1407738289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · 8971560
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 8971560 (ID)
11136 MOSS LN, Nampa, ID 83651
Open in Google Maps ↗

Other Names 1

Other Name (5)Jake Erickson

Secondary Practice Location 1

Location 13115 E Florence DrMeridian, ID 83642-1586 · Phone (208) 991-2963 · Fax (208) 466-5359

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Leon Erickson Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Erickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Clinics, Inc.
2.5 mi
Federally Qualified Health Center (FQHC)
156 MCCLURE AVE
Nampa, ID 83651
  • Reassigned Medicare billing, Idaho enrollment
  • 71 clinicians in this Medicare group
NPI 1851531388 (208) 323-9600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83651 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
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TREVER GRAY D.D.S.
Dentist (General Practice)
11136 MOSS LN
NAMPA, ID 83651
Canyon County (208) 466-0515
QUINN J SMITH DMD
Dentist
11136 MOSS LN
NAMPA, ID 83651
Canyon County (208) 466-0515
DR. DANIEL EGBERT D.M.D.
Dentist
11136 MOSS LN
NAMPA, ID 83651
Canyon County (208) 466-0515
SCOTT CHARLES PUGH DDS
Dentist (General Practice)
11136 MOSS LN
NAMPA, ID 83651
Canyon County (208) 466-0515
DR. DAVID EDWARD SEEGMILLER DDS
Dentist
11136 MOSS LN
NAMPA, ID 83651
Canyon County (208) 466-0515
COMMUNITY HEALTH CLINICS, INC.
Clinic/Center (Dental)
11136 MOSS LN
NAMPA, ID 83651
Canyon County (208) 466-0515
HARRISON A HAWS DDS
Dentist (General Practice)
11136 MOSS LN
NAMPA, ID 83651
Canyon County (208) 466-0515
LANDON S FISHER DMD
Dentist (General Practice)
11136 MOSS LN
NAMPA, ID 83651
Canyon County (208) 466-0515

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 Jacob Erickson's NPI number?

The NPI number for Jacob Erickson is 1407738289. It was assigned to this individual provider in the NPPES registry on July 23, 2025. The provider is also known as Jake Erickson.

Where is Jacob Erickson located?

Jacob Erickson practices at 11136 Moss Ln, Nampa, ID 83651. The listed phone number is (208) 466-0515.

What is Jacob Erickson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jacob Erickson enrolled in Medicare?

Yes. Jacob Erickson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Erickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Erickson reassigns Medicare benefits to Community Health Clinics, Inc. (Nampa, ID). The 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 Jacob Erickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Erickson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Jacob Erickson 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 Jacob Erickson was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.