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Idaho Sports Medicine Institute PA

Sports Medicine (Neuromusculoskeletal Medicine) Physician in Boise, ID · enumerated 2006 · authorized official Jennifer Millier, Owner/Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154356624

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Registry record

Entity type Organization (Type 2)
Legal business name Idaho Sports Medicine Institute PA
Practice address 1188 University Dr, Boise, ID, 83706
Fax (208) 345-9514
Enumeration date Jul 12, 2006
Last updated in NPPES Jan 6, 2026

Taxonomy & classification

204C00000X Sports Medicine (Neuromusculoskeletal Medicine) Physician Allopathic & Osteopathic Physicians · License N/A FOR GROUP Primary

Authorized official

Name Jennifer Millier
Title Owner/Partner

Other identifiers

Identifier Type State Issuer
805993900 Medicaid ID -
REGENCE BLUE SHIELD Other ID GROUP # 29145
8628-0 Other ID BLUE CROSS OF IDAHO GROUP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Idaho Sports Medicine Institute PA?
The NPI for Idaho Sports Medicine Institute PA is 1154356624, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Idaho Sports Medicine Institute PA?
NPPES lists Jennifer Millier (Owner/Partner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-06.