Individual provider Active NPI

J'Cinda J'Nae Bitters, MD

  • Family Medicine Physician
  • Caldwell, ID
National Provider Identifier
1104089556
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-10839 Issued in ID
Practice address
211 E Logan St Ste 301
Caldwell, ID 83605-4882
Phone
(208) 459-4667
Fax
(208) 459-3372
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-10839 ID Primary

Addresses

Primary practice location

211 E Logan St Ste 301
Caldwell, ID 83605-4882

Mailing address

211 E Logan St Ste 301
Caldwell, ID 83605-4882
Phone (208) 459-4667

Other identifiers 1

IdentifierTypeStateIssuer
808082600MedicaidID

Other names 1

  • J'Cinda J'Nae Rodgers Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JCINDA.BITTERS@hca3.eclinicaldirectplus.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000493 ID Practitioner - Family Practice 1254509409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Valley Medical Group LLCGroup PAC ID 8729180310, 9 clinicians

Practice addresses (Care Compare)

1717 Arlington Ave
Caldwell, ID 83605-4802
Phone (208) 795-5072

1906 Fairview Ave
Caldwell, ID 83605-5432

745 S Progress Ave
Suite 120
Meridian, ID 83642-5607
Phone (208) 795-5073

Hospital & facility affiliations

  • West Valley Medical Center Hospital, Caldwell, ID, CCN 130014
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • St Luke'S Nampa Medical Center Hospital, Nampa, ID, CCN 130071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
West Valley Medical Group LLC CurrentSince Aug 1, 2011 Accepting new patients
Caldwell Internal Medicine Professional Association Past Accepting new patients
West Valley Medical Group Specialty Services LLC Past Accepting new patients

Locations

211 E Logan St
Ste 301
Caldwell, ID 83605

1906 Fairview Ave
Ste 230
Caldwell, ID 83605
Phone (208) 795-5201

745 S Progress Ave
Ste 120
Meridian, ID 83642
Phone (208) 795-5073

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1104089556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E LOGAN ST STE 301",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054882",
            "telephone_number": "208-459-4667",
            "fax_number": "208-459-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E LOGAN ST STE 301",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054882",
            "telephone_number": "208-459-4667",
            "fax_number": "208-459-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTERS",
        "first_name": "J'CINDA",
        "middle_name": "J'NAE",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-10839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808082600",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JCINDA.BITTERS@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "211 E Logan St Ste 301",
            "city": "Caldwell",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836054882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "J'CINDA",
            "last_name": "RODGERS",
            "middle_name": "J'NAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.