Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jesse William Mix, DO

Individual provider Family Medicine Physician · NPI 1538415351

Dr. Jesse William Mix, DO is a Family Medicine Physician in Boise, Idaho. Licensed in Arizona and Idaho. Registered with an NPI since 2012.

Licensed in
AZ, ID
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

500 W Fort St # 111
Boise, ID 83702
Phone: (208) 422-1000
Fax: (208) 422-1319
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-1380 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 6880 (AZ)

Record details

NPI number1538415351
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 30, 2012
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022

Other providers in Boise