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JOHN M WICK MD
NPI 1982657375
Family Medicine in Boise, ID

Active since May 18, 2006PECOS Enrolled
703 S AMERICANA BLVD STE 120, BOISE, ID 83702(208) 894-5543 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John M Wick Md NPPES

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

JOHN M WICK MD (NPI 1982657375) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (M8339) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982657375
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN M WICKCredential: MD
Location Address703 S AMERICANA BLVD STE 120Boise, ID 83702-6754
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 887-6813 · Fax (208) 887-6884
Phone(208) 894-5543
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 3, 2017
✔ NPI 1982657375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M8339
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License M-8339 (ID)
703 S AMERICANA BLVD STE 120, Boise, ID 83702
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Other Identifiers 1

Medicare PIN20000380ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.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)

John M Wick 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
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 4

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

EMILY ANNE FLANNERY MAL, LAT, ATC
Specialist/Technologist (Athletic Trainer)
703 S AMERICANA BLVD STE 120
BOISE, ID 83702
Ada County (208) 489-5543
TIN VUONG
Family Medicine (Sports Medicine)
703 S AMERICANA BLVD STE 120
BOISE, ID 83702
Ada County (208) 706-9340
LOGAN ELLIS
Specialist/Technologist (Athletic Trainer)
703 S AMERICANA BLVD STE 120
BOISE, ID 83702
Ada County (208) 489-5543
DEREK DANIEL VANDERBURG PA-C
Physician Assistant
703 S AMERICANA BLVD STE 120
BOISE, ID 83702
Ada County (208) 706-2663

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 John Wick's NPI number?

The NPI number for John Wick is 1982657375. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is John Wick located?

John Wick practices at 703 S Americana Blvd Ste 120, Boise, ID 83702. The listed phone number is (208) 894-5543.

What is John Wick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Wick enrolled in Medicare?

Yes. John Wick is registered in the Medicare PECOS enrollment system.

What insurance does John Wick accept?

Health plans from PacificSource Health Plans list John Wick 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 John Wick was last updated on October 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.