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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE MARIE JUSTESEN
NPI 1902635816
Nurse Practitioner - Psychiatric/Mental Health in Boise, ID

Active since July 29, 2024
1109 W MYRTLE ST, BOISE, ID 83702(208) 706-6375(208) 706-6395 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2026, Jul 29, 2024 (2 updates tracked since 2024).

About Nicole Marie Justesen NPPES

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

NICOLE MARIE JUSTESEN (NPI 1902635816) is an individual psychiatric/mental health provider in Boise, Idaho, licensed in Idaho (3961262) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1902635816
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE MARIE JUSTESEN
Location Address1109 W MYRTLE STBoise, ID 83702-6970
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 706-6375
Fax(208) 706-6395
Sole ProprietorNo
Enumeration DateJuly 29, 2024
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1902635816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 3961262
1109 W MYRTLE ST, Boise, ID 83702
Open in Google Maps ↗

Accepted Insurance

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

Other Providers at the Same Location NPPES 9

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

JULIA HASSELL ATC, OTC
Specialist/Technologist (Athletic Trainer)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Ada County (208) 383-0201
CANDICE CHESSUM
Physical Therapist (Orthopedic)
1109 W MYRTLE ST
BOISE, ID 83702
Ada County (208) 489-4331
DR. ERIC TAEHO YOON PT, DPT, CSCS
Physical Therapist (Sports)
1109 W MYRTLE ST
BOISE, ID 83702
Ada County (208) 385-3720
DR. KURT J NILSSON MD
Family Medicine (Sports Medicine)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Ada County (208) 383-0201
ALEJANDRO A HOMAECHEVARRIA MD
Family Medicine (Sports Medicine)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Ada County (208) 383-0201
FORREST Q PECHA MS, ATC, LAT, OTC
Specialist/Technologist (Athletic Trainer)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Ada County (208) 489-4331
ZACHARY BRADDOCK PT, DPT
Physical Therapist
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Ada County (208) 489-4331
TIMOTHY STEVEN NICOLELLO ATC
Specialist/Technologist (Athletic Trainer)
1109 W MYRTLE ST, SUITE 200
BOISE, ID 83702
Ada County (208) 874-3449

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 Nicole Justesen's NPI number?

The NPI number for Nicole Justesen is 1902635816. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Nicole Justesen located?

Nicole Justesen practices at 1109 W Myrtle St, Boise, ID 83702. The listed phone number is (208) 706-6375.

What is Nicole Justesen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Nicole Justesen accept?

Health plans from Moda Health Plan, Inc. list Nicole Justesen 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 Nicole Justesen was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.