Jessica Watson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F04230286 Issued in ID

Practice address

225 S Linder Rd Apt O107
Eagle, ID 83616-4494

Phone

(208) 519-8520

NPI assigned

Apr 18, 2023

Last updated

Apr 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Key Stone Health CareGroup PAC ID 0648402784, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• First Choice Home Care Home health agency, Boise, ID, CCN 137108
• Horizon Home Health Home health agency, Meridian, ID, CCN 137065
• St Luke's Regional Medical Center Hospital, Boise, ID, CCN 130006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIFCAD/Endpoint/JIFCAD

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.

• Key Stone Health Care

  • Gerontology Nurse Practitioner
  • Eagle, ID
  • NPI 1932520640
  Medicare reassignment Care Compare group NPD
• Keystone Hospice, LLC

  • Community Based Hospice Care Agency
  • Eagle, ID
  • NPI 1427421114
  NPD

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

• First Choice Home Care, Inc.

  dba First Choice Home Health & Hospice

  • Home Health Agency
  • Boise, ID
  • NPI 1952305286
  Care Compare affiliation
• St Lukes Regional Medical Center

  dba Air St Luke's

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation
• Teton Healthcare, Inc.

  dba Horizon Home Health and Hospice

  • Home Health Agency
  • Meridian, ID
  • NPI 1689996357
  Care Compare affiliation

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1114613593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S LINDER RD APT O107",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S LINDER RD APT O107",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164494",
            "telephone_number": "208-519-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "F04230286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jancen H. Walker, OD
• Danielle Marie Wallner, SLP
• Danielle Walther
• Kristen Germain Ware, LPC
• Aaron J. Warner, O.D.
• Mickey Ray Weimer, C.F.A.
• Ashlynn Breanne Welch, MA
• Well Rooted Integrative Therapy PLLC
• Wellness Impact Nutrition, LLC
• Julie Wells, M.S.

• Family Nurse Practitioner in Eagle, ID
• Providers in Eagle, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.

Verify at the official NPI Registry.