Jennifer Lytle, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

67384 Issued in ID

Practice address

1526 W Ustick Rd Ste 110
Meridian, ID 83646-7741

Phone

(208) 370-5888

NPI assigned

Feb 11, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

AddiGroup PAC ID 5496287393, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.87 of 100Reported as group

Quality

77.29

Promoting interoperability

97

Improvement activities

40

Cost

74.78

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.lytle@phmg.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CHIFDD
• FHIR API: https://fhir4.healow.com/fhir/r4/CHIFDD/Endpoint/CHIFDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Addi

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, ID
  • NPI 1326877762

  Family

  Medicare reassignment Care Compare group NPD
• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Garden City, ID
  • NPI 1568413920
  NPD
• Add Clinic of Idaho

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1801567029
  NPD (past)
• Alliance Medical Group, LLC

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1780820076
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1003409913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191050",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837191050",
            "telephone_number": "208-985-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 W USTICK RD STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467741",
            "telephone_number": "208-370-5888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3280 E Lanark Dr",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836425982",
            "country_code": "US",
            "telephone_number": "208-895-8670",
            "fax_number": "208-955-0494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "67384",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "67384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Nicole Lynard, RN IBCLC
• Molly K. Lynn, NP
• Lyon Medical LLC
• Derrick Geddes Lyons, PT, DPT
• Robert A Lyons, MD
• Paul Tyler Lytle, DMD
• Vanessa Macdonagh, CSFA
• Katrina Larene Mace
• Rebecca Mace
• Julie Macgregor, PA-C, LE

• Family Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.