Active NPI
Lynette Joy Ages, NP
- Nurse Practitioner
- Caldwell, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 56600
- Practice address
- 1818 S 10TH Ave Ste 200
Caldwell, ID 83605-4880 - Phone
- (208) 453-6417
- Fax
- (208) 453-6419
- NPI assigned
- Aug 11, 2017
- Last updated
- Feb 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 56600 | ID | Primary |
Addresses
Primary practice location
1818 S 10TH Ave Ste 200
Caldwell, ID 83605-4880
Mailing address
6140 W Curtisian Ave Ste 400
Boise, ID 83704-8907
Phone (208) 327-5600
Other practice location 1
8921 W Hackamore Dr
Boise, ID 83709-1673
Phone (208) 375-1105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Coburg Rd
Eugene, OR 97401-4995
Phone (541) 345-8760
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.65 of 100
- Quality
- 68.3
- Improvement activities
- 40
- Cost
- 86.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56600 | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo Pintado Clinic | Current | Accepting new patients | |
| DHHS PHS Naihs Crownpoint Hospital | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Thoreau Clinic | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Durham Family Medicine, PLLC | Past | Accepting new patients | |
| Treasure Valley Occupational Medicine | Past | Accepting new patients |
Locations
600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720
108 NW Sisemore St
Ste 120
Bend, OR 97703
Phone (541) 213-2133
1302 NE 3rd St
Bend, OR 97701
Phone (541) 385-6388
1445 Gateway Blvd
Cottage Grove, OR 97424
Phone (541) 767-3023
186 W Ellendale Ave
Dallas, OR 97338
Phone (971) 900-4984
1800 Coburg Rd
Eugene, OR 97401
Phone (541) 342-1632
2710 Willamette St
Eugene, OR 97405
Phone (541) 735-3161
4040 W 11th Ave
Ste B
Eugene, OR 97402
Phone (458) 215-2311
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611
1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684
1623 N 1st St
Hermiston, OR 97838
Phone (458) 300-9014
355 W 3rd Ave
Junction City, OR 97448
Phone (541) 998-2468
3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337
3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605
1755 SW Baker St
McMinnville, OR 97128
Phone (971) 900-4522
1841 E Barnett Rd
Medford, OR 97504
Phone (541) 216-7291
1226 Virginia Ave
North Bend, OR 97459
Phone (541) 305-4224
1555 S Highway 97
#101
Redmond, OR 97756
Phone (541) 204-4304
3818 SW 21st St
Ste 100
Redmond, OR 97756
Phone (541) 548-2899
1740 NW Goetz St
Roseburg, OR 97471
Phone (541) 672-4789
2920 Commercial St SE
Salem, OR 97302
Phone (541) 641-6053
445 Harlow Rd
Ste 100
Springfield, OR 97477
Phone (541) 228-3865
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIBDDD
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Cuba, NM
- NPI 1023051133
-
- Clinic/Center
- Thoreau, NM
- NPI 1679516702
-
- Family Medicine Physician
- Meridian, ID
- NPI 1215714084
-
- Occupational Medicine Physician
- Boise, ID
- NPI 1497211148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1104341007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 W CURTISIAN AVE STE 400",
"city": "BOISE",
"state": "ID",
"postal_code": "837048907",
"telephone_number": "208-327-5600",
"fax_number": "208-327-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 S 10TH AVE STE 200",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054880",
"telephone_number": "208-453-6417",
"fax_number": "208-453-6419"
}
],
"practiceLocations": [
{
"address_1": "8921 W Hackamore Dr",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837091673",
"country_code": "US",
"telephone_number": "208-375-1105",
"fax_number": "208-377-7707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGES",
"first_name": "LYNETTE",
"middle_name": "JOY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-11",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "56600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.