Individual provider Active NPI

Jennifer Joy Quesnell, APRN-CNP

  • Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1194291823
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
59450 Issued in ID
Practice address
775 Pole Line Rd W Ste 105
Twin Falls, ID 83301-5819
Phone
(208) 814-8000
NPI assigned
Oct 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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 59450 ID Primary

Addresses

Primary practice location

775 Pole Line Rd W Ste 105
Twin Falls, ID 83301-5819

Mailing address

3606 E 3892 N
Kimberly, ID 83341-5150
Phone (208) 420-8272

Other practice location 1

3606 E 3892 N
Kimberly, ID 83341-5150
Phone (208) 420-8272

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
I20190204002906 ID Practitioner - Nurse Practitioner 3072851765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

Practice addresses (Care Compare)

746 N College Rd
Twin Falls, ID 83301-3486

775 Pole Line Rd W
Twin Falls, ID 83301-5819

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Clinic LLC Family Medicine CurrentSince Dec 28, 2018 Accepting new patients
St Luke's Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

775 Pole Line Rd W
Ste 103
Twin Falls, ID 83301
Phone (208) 814-8150

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

730 N College Rd
#B
Twin Falls, ID 83301
Phone (208) 732-3066

775 Pole Line Rd W
Ste 105
Twin Falls, ID 83301

775 Pole Line Rd W
Ste 111
Twin Falls, ID 83301

730 N College Rd
#A
Twin Falls, ID 83301
Phone (208) 814-7300

Interoperability endpoints

  • Direct secure messaging: jquesnell31419@direct.slhs.org

Organizations & group practices 2

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": "1539993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1194291823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 E 3892 N",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "833415150",
            "telephone_number": "208-420-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 POLE LINE RD W STE 105",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015819",
            "telephone_number": "208-814-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3606 E 3892 N",
            "address_purpose": "LOCATION",
            "city": "Kimberly",
            "state": "ID",
            "postal_code": "833415150",
            "country_code": "US",
            "telephone_number": "208-420-8272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUESNELL",
        "first_name": "JENNIFER",
        "middle_name": "JOY",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-20",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "59450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.