SHELLEY MARIE JACKS MD
NPI 1679524920
Anesthesiology in Boise, ID

Active since May 12, 2006PECOS Enrolled
1055 N CURTIS RD, BOISE, ID 83706(208) 367-6416 Get Directions Write a Review

NPPES record last updated: April 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shelley Marie Jacks Md NPPES

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

SHELLEY MARIE JACKS MD (NPI 1679524920) is an individual anesthesiology provider in Boise, Idaho, licensed in Idaho (M7159) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679524920
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameSHELLEY MARIE JACKSCredential: MD
Location Address1055 N CURTIS RDBoise, ID 83706-1352
Mailing AddressPo Box 4268Portland, OR 97208-4268 · (503) 372-2740 · Fax (503) 372-2754
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateApril 8, 2011
NPI 1679524920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in ID · M7159
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1055 N CURTIS RD, Boise, ID 83706

Other Identifiers 4

Medicare UPINH16116
Other050075060ID · Railroad Medicare
Medicaid805793000ID
Medicare PIN1143828ID

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shelley Marie Jacks 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.

Other Providers at the Same Location NPPES 20

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

Family Medicine (Hospice and Palliative Medicine)
1055 N CURTIS RD
BOISE, ID 83706
Family Medicine
1055 N CURTIS RD
BOISE, ID 83706
Social Worker (Clinical)
1055 N CURTIS RD
BOISE, ID 83706
Radiology (Diagnostic Radiology)
1055 N CURTIS RD
BOISE, ID 83706
Nurse Practitioner
1055 N CURTIS RD
BOISE, ID 83706
Internal Medicine (Rheumatology)
1055 N CURTIS RD
BOISE, ID 83706
Emergency Medicine
1055 N CURTIS RD
BOISE, ID 83706
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1055 N CURTIS RD
BOISE, ID 83706

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 Shelley Jacks's NPI number?

The NPI number for Shelley Jacks is 1679524920. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Shelley Jacks located?

Shelley Jacks practices at 1055 N Curtis Rd, Boise, ID 83706. The listed phone number is (208) 367-6416.

What is Shelley Jacks's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Shelley Jacks enrolled in Medicare?

Yes. Shelley Jacks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelley Jacks was last updated on April 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.