Active NPI
Jennifer Nesbitt, PNP
- Nurse Practitioner
- Meridian, ID
National Provider Identifier
1184567091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5881710
- Practice address
- 3280 E Lanark Dr
Meridian, ID 83642-5982 - Phone
- (208) 377-4400
- Fax
- (208) 377-4416
- NPI assigned
- Apr 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 58871710 | ID | |
| Nurse Practitioner | 363L00000X | 5881710 | ID | Primary |
| Registered Nurse | 163W00000X | RN.542425 | OH |
Addresses
Primary practice location
3280 E Lanark Dr
Meridian, ID 83642-5982
Mailing address
PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6500
Other names 1
- Jennifer Hoolehan
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.542425 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1184567091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191050",
"city": "BOISE",
"state": "ID",
"postal_code": "837191050",
"telephone_number": "208-955-6500",
"fax_number": "208-955-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 E LANARK DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425982",
"telephone_number": "208-377-4400",
"fax_number": "208-377-4416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESBITT",
"first_name": "JENNIFER",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-14",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "ID",
"license": "58871710",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "5881710",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.542425",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HOOLEHAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.