Lynette Joy Ages, NP
Individual provider Active NPI Nurse Practitioner · Caldwell, ID
NPI 1104341007 · NPPES record last updated Feb 23, 2021
Key facts
- NPI
- 1104341007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 56600 (ID)
- 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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Icco LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211109001785 | TX | Practitioner - Nurse Practitioner | 9234404971 | Reassigns benefits to 1 organization |
| I20250305000903 | OR | Practitioner - Nurse Practitioner | 9234404971 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thoreau Clinic | Current |
Accepting new patients | |
| Pueblo Pintado Clinic | Current | Accepting new patients | |
| Icco LLC | Current |
Accepting new patients | |
| Icco, LLC | Current | Accepting new patients | |
| Icco, LLC | Current |
Accepting new patients | |
| DHHS PHS Naihs Crownpoint Hospital | 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
2710 Willamette St
Eugene, OR 97405
Phone (541) 735-3161
4040 W 11th Ave
Ste B
Eugene, OR 97402
Phone (458) 215-2311
1800 Coburg Rd
Eugene, OR 97401
Phone (541) 342-1632
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 56600 | ID | Yes |
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
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.