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DR. JENNIFER NICOLE LILLEMON M.D.
NPI 1467718932
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Boise, ID

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment
100 E IDAHO ST STE 304, BOISE, ID 83712(208) 381-7040 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2019, Apr 29, 2019 (2 updates tracked since 2019).

About Dr. Jennifer Nicole Lillemon M.d. NPPES

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

DR. JENNIFER NICOLE LILLEMON M.D. (NPI 1467718932) is an individual urogynecology and reconstructive pelvic surgery provider in Boise, Idaho, licensed in Oregon (MD177334) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1467718932
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameDR. JENNIFER NICOLE LILLEMONCredential: M.D.
Location Address100 E IDAHO ST STE 304Boise, ID 83712
Mailing Address100 E Idaho St Ste 304Boise, ID 83712-6269 · (208) 381-7040
Phone(208) 381-7040
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2012
Enumeration DateApril 9, 2012
Last NPPES UpdateMay 15, 20192 updates tracked since enumeration
✔ NPI 1467718932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in OR · MD177334
Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 E IDAHO ST STE 304, Boise, ID 83712
Open in Google Maps ↗

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park Road, OHSUPortland, OR 97239 · Phone (503) 494-8211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, 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. Jennifer Nicole Lillemon M.d. 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 ID941447940
PECOS Enrollment IDI20190715000894
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 11

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.

Insertion of lower leg neurostimulator electrode 64566
The insertion of a lower leg neurostimulator electrode is a procedure where a small device is placed under your skin. This device sends mild electrical signals to nerves in the lower leg, helping to manage chronic pain. It's a safe, minimally invasive procedure.
126 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
79 services79 patients
Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729
This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.
50 services50 patients
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784
This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.
50 services50 patients
Insertion of device into abdomen with pressure and urine flow rate study 51797
This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.
50 services50 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
42 services42 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

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

Grande Ronde Hospital

Critical Access Hospitals · La Grande, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381321
Location900 Sunset DriveLa Grande, OR 97850 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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
$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.

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 Jennifer Lillemon's NPI number?

The NPI number for Jennifer Lillemon is 1467718932. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Jennifer Lillemon located?

Jennifer Lillemon practices at 100 E Idaho St Ste 304, Boise, ID 83712. The listed phone number is (208) 381-7040.

What is Jennifer Lillemon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Jennifer Lillemon enrolled in Medicare?

Yes. Jennifer Lillemon 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 Jennifer Lillemon accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Jennifer Lillemon 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 Jennifer Lillemon affiliated with any hospitals?

According to CMS data, Jennifer Lillemon is affiliated with St Lukes Magic Valley Medical Center, St Luke's Regional Medical Center and Grande Ronde Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Lillemon was last updated on May 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.