NPI age
5 years
Enumerated 2020-12-17
● Active Type 2 · Organization
Ten Mile Surgery Center, Llc
Ten Mile Surgery Center, Llc is 1 of 99 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bloxham
Administrator
Last NPPES update
2025-05-14
Source: monthly bulk 2026-05
How this organization compares
Across 99 active clinic/center providers in Idaho.
NPI age
5 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-12Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
875 S Vanguard Way
Meridian, ID 836427552
Mailing address
875 S Vanguard Way Ste 120
Meridian, ID 836428541
Authorized official
Jennifer Bloxham
Administrator
📞 2083027960
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Jesse Chlebeck, M.D. Orthopaedic Surgery NPI 1073879185
- Nicole Funk, PA-C Physician Assistant NPI 1669002721
- Brian Kittelson, DNP, ARNP, FNP-C Nurse Practitioner NPI 1730234345
- Mari Riley, MD Family Medicine NPI 1821108317
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Ten Mile Surgery Center
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.