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

Jaclyn Marie Cooperrider, MD

Individual provider Family Medicine Physician · NPI 1518372846

Jaclyn Marie Cooperrider, MD is a Family Practice in Boise, Idaho. Graduated from University of Washington School of Medicine in 2014, 12 years ago. Practices with Idaho Sports Medicine Institute PA, a 12-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
12
Trained at
University of Washington School of Medicine
Licensed in
ID
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

325 W Idaho St
Boise, ID 83702-6040
Phone: (208) 514-2525
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 777 N Raymond St, Boise, ID 83704-9251 — (208) 514-2500
  • 1188 W University Dr, Boise, ID 83706-3009 — (208) 336-8250

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-13130 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MRM-1390 (ID)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence M-13130 (ID)

Record details

NPI number1518372846
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2014
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Idaho Sports Medicine Institute Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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