Individual provider Active NPI

Lynette Joy Ages, NP

  • Nurse Practitioner
  • Caldwell, ID
National Provider Identifier
1104341007
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
56600 Issued in 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
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211109001785 TX Practitioner - Nurse Practitioner 9234404971 Reassigns benefits to 1 organization
I20250305000903 OR Practitioner - Nurse Practitioner 9234404971 Reassigns benefits to 1 organization

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
Icco LLCGroup PAC ID 1355406729, 133 clinicians

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 100Reported as group
Quality
68.3
Improvement activities
40
Cost
86.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56600IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Nov 2, 2021 Accepting new patients
Icco LLC CurrentSince Apr 21, 2025 Accepting new patients
Icco, LLC CurrentSince Apr 21, 2025 Accepting new patients
Durham Family Medicine, PLLC PastSince Sep 5, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.