1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Family Medicine
  6. NPI Profile

GERTJAN MULDER MD
NPI 1659336691
Family Medicine in Boise, ID

Active since April 20, 2006PECOS Enrolled
3301 N SAWGRASS WAY, BOISE, ID 83704(208) 375-0862(208) 375-2658 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gertjan Mulder Md NPPES

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

GERTJAN MULDER MD (NPI 1659336691) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M4931) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659336691
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGERTJAN MULDERCredential: MD
Location Address3301 N SAWGRASS WAYBoise, ID 83704-4493
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 375-0862 · Fax (208) 375-2658
Phone(208) 375-0862
Fax(208) 375-2658
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateJanuary 23, 2014
✔ NPI 1659336691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M4931
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3301 N SAWGRASS WAY, Boise, ID 83704
Open in Google Maps ↗

Other Names 1

Other Name (5)Jerry Mulder Md

Other Identifiers 1

Medicare PIN11190902ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)

Gertjan Mulder Md 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 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
$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 16

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

ST LUKES REGIONAL MEDICAL CENTER
Family Medicine
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
MS. MICHELE RENEE BIRCH DNP, FNP-C
Nurse Practitioner (Family)
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
KIRSTEN M DEUTSCH MD
Family Medicine
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
BECKY SUE KROLL M.D.
Family Medicine
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
CARSON NICOLE MONDADA PA-C
Physician Assistant (Medical)
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
RUSSELL M KOCEMBA MD
Family Medicine
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
KELSEY JANEL WERTZLER MD
Family Medicine
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-0862
TREVOR SPENCE NP-C
Nurse Practitioner
3301 N SAWGRASS WAY
BOISE, ID 83704
Ada County (208) 375-2658

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 Gertjan Mulder's NPI number?

The NPI number for Gertjan Mulder is 1659336691. It was assigned to this individual provider in the NPPES registry on April 20, 2006. The provider is also known as Jerry Mulder MD.

Where is Gertjan Mulder located?

Gertjan Mulder practices at 3301 N Sawgrass Way, Boise, ID 83704. The listed phone number is (208) 375-0862.

What is Gertjan Mulder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gertjan Mulder enrolled in Medicare?

Yes. Gertjan Mulder is registered in the Medicare PECOS enrollment system.

What insurance does Gertjan Mulder accept?

Health plans from Moda Health Plan, Inc. list Gertjan Mulder 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 Gertjan Mulder was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.