Look up the most recent NPI and PECOS records

Jacqueline Baggs

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

305 E Jefferson St, Boise, ID 83712-6231

PECOS Enrollment

Based on the most recent information from CMS, provider Jacqueline Baggs is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1932566874
Provider Type
Individual
Full Name
Baggs, Jacqueline
Gender
Female

Sole Proprietor
No
Enumeration Date
1/22/2016
Last Updated
1/29/2026

Contact Information

Practice Location

305 E Jefferson St, Boise, ID 83712-6231

(208) 381-7340

Unlisted Fax

Mailing Location

190 E Bannock St, Boise, ID 83712-6241

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA-1704 Idaho
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 53154 California

Jacqueline Baggs

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Blea, Kacey

Talford, David B

Hurty, Michelle R

Hague, Natalie Marie

Elkin, Jessica E

Donahue, Hillary

Vitto, Anthony David

Davis, Brittney

Gordon, Louissa Carolyn

Campbell, Joseph