Jessica Morgan Kelly Waters

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

545 N Benjamin LN Ste 185
Boise, ID 83704-9625

Phone

(208) 322-1026

Fax

(208) 322-1029

NPI assigned

Nov 5, 2025

Last updated

Nov 5, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1184594202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N BENJAMIN LN STE 185",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049625",
            "telephone_number": "208-322-1026",
            "fax_number": "208-322-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N BENJAMIN LN STE 185",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049625",
            "telephone_number": "208-322-1026",
            "fax_number": "208-322-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY WATERS",
        "first_name": "JESSICA",
        "middle_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kelley
• Kendra Kellis, LAMFT
• Nathan Kellis, M.D.
• Pebbles P Kellum, PSS
• Kelly Bridges Neurosurgery PLLC
• Leslie S. Kelly-Majors, LCSW
• Jacqueline Kelly, M.D.
• Jacqulyn Myra Kelly, RPH
• Sheryl Louise Kelly, NP
• Suzanne Kelly, PT

• Case Management Agency in Boise, ID
• Providers in Boise, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.