Individual provider Active NPI

Jennifer Paulson, DNP, FNP-BC

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1164685210
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
74281 Issued in ID
Practice address
13909 W Wainwright Dr
Boise, ID 83713-1969
Phone
(208) 607-3738
Fax
(208) 369-9274
NPI assigned
Jul 9, 2008
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201050195NP OR
Family Nurse Practitioner 363LF0000X 74281 ID Primary
Family Nurse Practitioner 363LF0000X AP3281 AZ

Addresses

Primary practice location

13909 W Wainwright Dr
Boise, ID 83713-1969

Mailing address

13909 W Wainwright Dr
Boise, ID 83713-1969
Phone (208) 607-3738

Other identifiers 1

IdentifierTypeStateIssuer
131679OtherORMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP3281AZMDFamily Nurse Practitioner
74281IDMDFamily Nurse Practitioner
201050195NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Wellness PC CurrentSince Dec 1, 2023 Accepting new patients

Locations

13909 W Wainwright Dr
Boise, ID 83713
Phone (208) 322-7900

2976 E State St
Ste 210
Eagle, ID 83616
Phone (208) 607-3738

5995 W State St
Ste A
Garden City, ID 83703
Phone (208) 283-7291

497 SW Century Dr
Ste 120
Bend, OR 97702
Phone (541) 382-6555

Organizations & group practices 1

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1164685210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13909 W WAINWRIGHT DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131969",
            "telephone_number": "208-607-3738",
            "fax_number": "208-369-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 W WAINWRIGHT DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131969",
            "telephone_number": "208-607-3738",
            "fax_number": "208-369-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201050195NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "74281",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3281",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "131679",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.