Individual provider Active NPI

Amy Lou Jensen, FNP-C

  • Primary Care Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1033993191
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
TEMP79193 Issued in ID
Practice address
1329 Park View Dr
Twin Falls, ID 83301-4084
Phone
(208) 738-7200
Fax
(208) 277-3488
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X TEMP79193 ID Primary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 6069006-4405 UT
Nurse Practitioner 363L00000X 79193 ID

Addresses

Primary practice location

1329 Park View Dr
Twin Falls, ID 83301-4084

Mailing address

1880 Fillmore St
Twin Falls, ID 83301-3015
Phone (208) 735-8386

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240530000490 ID Practitioner - Nurse Practitioner 1254772544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
48385IDMDRegistered Nurse
79193IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Dell Smith Plastic Surgeon PC Single Specialty CurrentSince Oct 15, 2024 Accepting new patients
Inland Cardiology Associates, P.S. Single Specialty Past Accepting new patients

Locations

1880 Fillmore St
Twin Falls, ID 83301
Phone (208) 735-8386

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1033993191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 FILLMORE ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013015",
            "telephone_number": "208-735-8386",
            "fax_number": "208-735-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 PARK VIEW DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014084",
            "telephone_number": "208-738-7200",
            "fax_number": "208-277-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "AMY",
        "middle_name": "LOU",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "TEMP79193",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "6069006-4405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "79193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.