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

Jacob Richard Hall

Individual provider Family Medicine Physician · NPI 1659834000

Jacob Richard Hall is a Family Practice in Boise, Idaho. Graduated from Texas Tech University Health Science Center School of Medicine in 2019, 7 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
7
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
ID
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10255 W Overland Rd
Boise, ID 83709-1430
Phone: (208) 302-5600
Fax: (208) 302-5655
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1400 S Coulter St, Amarillo, TX 79106-1786 — (806) 414-9559

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-16234 (ID)

Record details

NPI number1659834000
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2019
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022
Mailing address10255 W Overland Rd, Boise, ID 83709-1430

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Boise