WAYNE A MORTENSEN DMD
NPI 1801023478
Dentist - General Practice in Boise, ID

Q: What is Wayne Mortensen's NPI number?

The NPI number for Wayne Mortensen is 1801023478. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Q: What is Wayne Mortensen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Mortensen was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 22, 2009PECOS Enrolled

9213 W STATE ST, BOISE, ID 83714(208) 853-3300 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wayne A Mortensen Dmd NPPES

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

WAYNE A MORTENSEN DMD (NPI 1801023478) is an individual general practice provider in Boise, Idaho, licensed in Idaho (D-4220) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1801023478

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameWAYNE A MORTENSENCredential: DMD

Location Address9213 W STATE STBoise, ID 83714-1737

Mailing Address9213 W State StBoise, ID 83714-1737 · (208) 853-3300

Phone(208) 853-3300

Sole ProprietorNo

Enumeration DateJune 22, 2009

Last NPPES UpdateDecember 10, 2018

✔ NPI 1801023478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ID · D-4220

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License D4220 (ID)

9213 W STATE ST, Boise, ID 83714

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Secondary Practice Location 1

Location 1317 W Cherry LnMeridian, ID 83642-1608 · Phone (208) 395-1000 · Fax (208) 895-0583

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.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)

Wayne A Mortensen Dmd 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 83714 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

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

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

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

WAYNE MORTENSEN DMD PC

Clinic/Center (Dental)

9213 W STATE ST
BOISE, ID 83714

Ada County (208) 853-3300

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 Wayne Mortensen's NPI number?

The NPI number for Wayne Mortensen is 1801023478. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Wayne Mortensen located?

Wayne Mortensen practices at 9213 W State St, Boise, ID 83714. The listed phone number is (208) 853-3300.

What is Wayne Mortensen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Wayne Mortensen enrolled in Medicare?

Yes. Wayne Mortensen is registered in the Medicare PECOS enrollment system.

What insurance does Wayne Mortensen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Wayne Mortensen 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 Wayne Mortensen was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.