SHELLEY MARIE JACKS MD
NPI 1679524920
Anesthesiology in Boise, ID
NPI Status: Active since May 12, 2006
- Individual
- Female
- Anesthesiology
- PECOS Enrolled
About SHELLEY JACKS
This page provides the complete NPI Profile along with additional information for Shelley Jacks, an anesthesiologist established in Boise, Idaho with a medical specialization in Anesthesiology. The healthcare provider is registered in the NPI registry with number 1679524920 assigned on May 2006. The practitioner's primary taxonomy code is 207L00000X with license number M7159 (ID). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1679524920
- Provider Name
- SHELLEY MARIE JACKS MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1055 N CURTIS RD BOISE, ID 83706
- Location Phone
- (208) 367-6416
- Mailing Address
- PO BOX 4268 PORTLAND, OR 97208
- Mailing Phone
- (503) 372-2740
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-12-2006
- Last Update Date
- 04-08-2011
- Code Navigator
An anesthesiologist like Shelley Jacks manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology
- Taxonomy Code
- 207L00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M7159
- License State
- ID
- Taxonomy Description
- An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H16116 | MEDICARE UPIN (02) | ||
| 050075060 | OTHER (01) | ID | RAILROAD MEDICARE |
| 805793000 | MEDICAID (05) | ID | |
| 1143828 | MEDICARE PIN (08) | ID |
Medicare Participation & PECOS Enrollment Status
Shelley Jacks is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Insertion of artery tube for blood sampling or infusion through skin
Ultrasonic guidance for needle placement
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
This service was performed 13 times for 13 patientsUltrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
This service was performed 13 times for 13 patientsReviews for SHELLEY MARIE JACKS MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 7 | 9 | 5 | 2 | 4 | 9 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 10 | 2 | 8 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 0 + 2 + 8 + 9 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1679524920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881676948 | DOUGLAS H SCHOONOVER RPH, MBA Individual | Pharmacist | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-2166 |
| 1730165838 | SOUTHERN IDAHO REGIONAL LABORATORY LLC Organization | Clinical Medical Laboratory | 1055 N CURTIS RD BOISE, ID 83706 (800) 574-8854 |
| 1326002189 | DR. JENNIFER R MERCHANT MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6483 |
| 1831141282 | KEVIN EUGENE KARTCHNER MD Individual | Anesthesiology | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1396797601 | PATRICIA ANN GAHERTY MD Individual | Anesthesiology | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1518919943 | ANDREW ROSS COHEN MD Individual | Anesthesiology | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1497707830 | DONALD JAMES FOX MD Individual | Anesthesiology | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1720030166 | MICHAEL DAVID GOLD MD Individual | Anesthesiology | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1639122385 | STEVEN DUANE REID MD Individual | Anesthesiology | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1437103934 | DAVID F BEARDMORE M.D. Individual | Family Medicine | 1055 N CURTIS RD BOISE, ID 83706 (208) 322-1730 |
| 1063467637 | BRETT CURLEY CRNA Individual | Nurse Anesthetist, Certified Registered | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1801841820 | JAMES SHIPPERS CRNA Individual | Nurse Anesthetist, Certified Registered | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1033164454 | KAREN COSCIA CRNA Individual | Registered Nurse | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1457306870 | DOROTHY L MATTISE CRNA Individual | Nurse Anesthetist, Certified Registered | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1770539736 | RUTH BORDERS CRNA Individual | Registered Nurse | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1407802127 | MICHAEL JOSEPH SUIDA CRNA Individual | Nurse Anesthetist, Certified Registered | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1174579742 | GARY DON BEVAN CRNA Individual | Nurse Anesthetist, Certified Registered | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1306892807 | LESLIEANN SCHWEIGER CRNA Individual | Nurse Anesthetist, Certified Registered | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
| 1356397491 | NANCY C KOIS M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-2152 |
| 1538115035 | KITTRICK RANDALL DUBOISE CRNA Individual | Registered Nurse | 1055 N CURTIS RD BOISE, ID 83706 (208) 367-6416 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679524920, enumerated in the NPI registry as an "individual" on May 12, 2006
The provider is located at 1055 N Curtis Rd Boise, Id 83706 and the phone number is (208) 367-6416
The provider's speciality is Anesthesiology with taxonomy code 207L00000X
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Insertion of artery tube for blood sampling or infusion through skin and Ultrasonic guidance for needle placement.
This NPI record was last updated on May 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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