Individual provider Active NPI

Jennifer D Wolff, CRNA

  • Certified Registered Nurse Anesthetist
  • Boise, ID
National Provider Identifier
1184169138
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001025 Issued in CA
Practice address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone
(208) 367-6416
NPI assigned
Dec 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X N-30054 ID
Certified Registered Nurse Anesthetist 367500000X 95001025 CA Primary

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-6416

Other practice location 1

2615 Chester Ave
Bakersfield, CA 93301-2014
Phone (661) 633-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, CA, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170215002476 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395028476 Reassigns benefits to 4 organizations
I20190424001835 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395028476 Reassigns benefits to 1 organization
I20200103000411 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395028476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Valley Medical Associates IncGroup PAC ID 9931467289, 28 clinicians

Practice addresses (Care Compare)

1717 Arlington Ave
Caldwell, ID 83605-4802
Phone (208) 455-3917

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
N-30054IDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Boise Anesthesia, P a Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2017 Accepting new patients
Anesthesia Consulting Partners Idaho, PC Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2023 Accepting new patients
West Idaho Anesthesia, LLP Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Comfort Anesthesia Associates Inc CurrentSince Jan 1, 2021 Accepting new patients
West Valley Medical Associates Inc CurrentSince Jan 1, 2026 Accepting new patients
Valley Anesthesia Associates, Inc. CurrentSince Feb 21, 2019 Accepting new patients

Locations

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

2620 Chester Ave
Bakersfield, CA 93301
Phone (661) 323-4673

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3115 Medical Dr
Caldwell, ID 83605
Phone (208) 453-8668

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

251 SW 19th St
Ontario, OR 97914
Phone (541) 889-3106

Organizations & group practices 6

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": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1184169138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "telephone_number": "208-367-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "telephone_number": "208-367-6416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 Chester Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933012014",
            "country_code": "US",
            "telephone_number": "661-633-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N-30054",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.