Individual provider Active NPI

Jennifer Felter, NP

  • Nurse Practitioner
  • Malad City, ID
National Provider Identifier
1134417843
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-1074A Issued in ID
Practice address
220 Bannock St
Malad City, ID 83252-5068
Phone
(208) 766-2231
Fax
(208) 766-4258
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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 NP-1074A ID Primary

Addresses

Primary practice location

220 Bannock St
Malad City, ID 83252-5068

Mailing address

220 Bannock St
Malad City, ID 83252-5068
Phone (208) 766-2231

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170227001193 ID Practitioner - Nurse Practitioner 0648412346 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bear Lake County Memorial HospitalGroup PAC ID 5395799860, 31 clinicians

Practice addresses (Care Compare)

166 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-1110

Hospital & facility affiliations

  • Bear Lake Memorial Hospital Hospital, Montpelier, ID, CCN 131316
  • Nell J Redfield Memorial Hospital Hospital, Malad City, ID, CCN 131303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Lake County Memorial Hospital Family Medicine CurrentSince May 5, 2020 Accepting new patients
Oneida County Hospital CurrentSince Jan 1, 2026 Accepting new patients
Bear Lake County Memorial Hospital CurrentSince May 5, 2020 Accepting new patients
Oneida County Hospital CurrentSince Jan 1, 2026 Accepting new patients

Locations

150 N 200 W
Malad City, ID 83252
Phone (208) 766-2231

220 Bannock St
Malad City, ID 83252
Phone (208) 766-2231

166 S 5th St
Montpelier, ID 83254
Phone (208) 847-1110

467 Washington St
Montpelier, ID 83254
Phone (208) 847-4495

465 Washington St
Montpelier, ID 83254
Phone (208) 847-2878

164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630

300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700

Organizations & group practices 5

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 2

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1134417843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BANNOCK ST",
            "city": "MALAD CITY",
            "state": "ID",
            "postal_code": "832525068",
            "telephone_number": "208-766-2231",
            "fax_number": "208-766-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BANNOCK ST",
            "city": "MALAD CITY",
            "state": "ID",
            "postal_code": "832525068",
            "telephone_number": "208-766-2231",
            "fax_number": "208-766-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTER",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-1074A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malad City, ID

Sources for this page

Verify at the official NPI Registry.