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ELMER G DODGE JR. FNP
NPI 1508918236
Nurse Practitioner in Star, ID

Active since January 16, 2007PECOS Enrolled
9858 W STATE ST, STAR, ID 83669(208) 286-0666(208) 286-0565 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elmer G Dodge Jr. Fnp NPPES

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

ELMER G DODGE JR. FNP (NPI 1508918236) is an individual nurse practitioner in Star, Idaho, licensed in Idaho (NP-534A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508918236
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameELMER G DODGE JR.Credential: FNP
Location Address9858 W STATE STStar, ID 83669-5210
Mailing AddressPo Box 44267Boise, ID 83711-0267 · (208) 286-0666 · Fax (208) 286-0565
Phone(208) 286-0666
Fax(208) 286-0565
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateSeptember 1, 2020
NPPES CertifiedSeptember 1, 2020
✔ NPI 1508918236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · NP-534A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License NP534A (ID)
9858 W STATE ST, Star, ID 83669
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Other Identifiers 3

Medicaid806045400ID
OtherNPQP7ID · Blue Cross Of Idaho
Other000010150031ID · Regence Blue Shield Of Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Elmer G Dodge Jr. Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83669 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 5

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

OWYHEE FAMILY MEDICINE PLLC
Family Medicine
9858 W STATE ST
STAR, ID 83669
Ada County (208) 286-9471
ELENA JACOBS
Nurse Practitioner (Family)
9858 W STATE ST
STAR, ID 83669
Ada County (208) 286-9471
BEVERLEE K FURNER, NP PLLC
Nurse Practitioner (Family)
9858 W STATE ST
STAR, ID 83669
Ada County (208) 286-9471
STAR MEDICAL CENTER PC
Registered Nurse (General Practice)
9858 W STATE ST
STAR, ID 83669
Ada County (208) 286-0666
SHERRY LYNN STANTON NP
Nurse Practitioner (Family)
9858 W STATE ST
STAR, ID 83669
Ada County (208) 286-9471

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 Elmer Dodge's NPI number?

The NPI number for Elmer Dodge is 1508918236. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Elmer Dodge located?

Elmer Dodge practices at 9858 W State St, Star, ID 83669. The listed phone number is (208) 286-0666.

What is Elmer Dodge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elmer Dodge enrolled in Medicare?

Yes. Elmer Dodge is registered in the Medicare PECOS enrollment system.

What insurance does Elmer Dodge accept?

Health plans from Providence Health Plan list Elmer Dodge 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 Elmer Dodge was last updated on September 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.