SHELLEY MARIE JACKS MD
NPI 1679524920
Anesthesiology in Boise, ID

Q: 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.

Q: What is Shelley Jacks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelley Jacks was last updated on April 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

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: August 16, 2026.

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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

Phone(208) 367-6416

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

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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.

DR. MAUREEN A NEWMAN M.D.

Family Medicine (Hospice and Palliative Medicine)