JEREMY J BOETHIN D.C.
NPI 1740314442
Chiropractor in Star, ID

Active since March 15, 2007Accepts Medicare Assignment
12545 W GOLDCREST ST, STAR, ID 83669(541) 480-1555 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeremy J Boethin D.c. NPPES

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

JEREMY J BOETHIN D.C. (NPI 1740314442) is an individual chiropractor in Star, Idaho, licensed in Idaho (CHIA-2246) and active in the NPI registry since March 2007. He is a graduate of Western States College Of Chiropractic (2002).

NPPES Registry Identity

NPI1740314442
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJEREMY J BOETHINCredential: D.C.
Location Address12545 W GOLDCREST STStar, ID 83669-6513
Mailing Address12545 W Goldcrest StStar, ID 83669-6513 · (541) 480-1555
Sole ProprietorYes
Medical School CMSWestern States College Of ChiropracticGraduated 2002
Enumeration DateMarch 15, 2007
Last NPPES UpdateJune 2, 2023
NPPES CertifiedJune 2, 2023
✔ NPI 1740314442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in ID · CHIA-2246✔ Licensed in OR · 273407
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
12545 W GOLDCREST ST, Star, ID 83669

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy J Boethin D.c. 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 ID7214003623
PECOS Enrollment IDI20231023000949

Medicare Billing Reassignments

2

Medicare enrollment records show Jeremy Boethin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
12545 W GOLDCREST ST
Star, ID 83669
  • Reassigned Medicare billing, Idaho enrollment
Chiropractor
929 SW SIMPSON AVE STE 140
Bend, OR 97702
  • Reassigned Medicare billing, Oregon enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Chiropractor
12545 W GOLDCREST ST
STAR, ID 83669

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 Jeremy Boethin's NPI number?

The NPI number for Jeremy Boethin is 1740314442. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Jeremy Boethin located?

Jeremy Boethin practices at 12545 W Goldcrest St, Star, ID 83669. The listed phone number is (541) 480-1555.

What is Jeremy Boethin's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jeremy Boethin enrolled in Medicare?

Yes. Jeremy Boethin 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.

Which organizations bill Medicare for Jeremy Boethin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Boethin reassigns Medicare benefits to 2 organizations: Elevate Chiropractic (Star, ID) and Point Chiropractic PC (Bend, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Boethin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Boethin accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Jeremy Boethin 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 Jeremy Boethin was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.