Individual provider Active NPI

Jessica Torrez, DNP, FNP-BC

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1205307097
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60960 Issued in ID
Practice address
496 Shoup Ave W Ste B
Twin Falls, ID 83301-5043
Phone
(208) 739-9961
Fax
(208) 739-9962
NPI assigned
Dec 6, 2018
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61117760 WA
Family Nurse Practitioner 363LF0000X 60960 ID Primary
Family Nurse Practitioner 363LF0000X 202112436 OR
Family Nurse Practitioner 363LF0000X APRN-204569 MT
Family Nurse Practitioner 363LF0000X 39733.1780 WY

Addresses

Primary practice location

496 Shoup Ave W Ste B
Twin Falls, ID 83301-5043

Mailing address

423 Palisades Dr
Alpine, WY 83128

Other practice location 1

118 S Main St
#400
Thayne, WY 83127
Phone (307) 883-7246

Other practice location 2

423 Palisades Drive
Alpine, WY 83128
Phone (208) 607-5073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190606000353 ID Practitioner - Nurse Practitioner 1052644044 Reassigns benefits to 3 organizations
I20200317000894 WY Practitioner - Nurse Practitioner 1052644044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spencer J Hardenbrook MD PCGroup PAC ID 2062733546, 93 clinicians
Ming-Wei Wu IncGroup PAC ID 4284726159, 38 clinicians

Practice addresses (Care Compare)

2065 E 17TH St
Suite a
Idaho Falls, ID 83404-8042
Phone (800) 640-3451

950 W Bannock St
Suite 1100
Boise, ID 83702-6140
Phone (888) 434-8880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1780WYMDClinical Social Worker
60960IDMDFamily Nurse Practitioner
APRN-204569MTMDFamily Nurse Practitioner
202112436ORMDFamily Nurse Practitioner
AP61117760WAMDFamily Nurse Practitioner
39733.1780WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Wound Specialists PLLC CurrentSince Mar 1, 2025 Accepting new patients
Spencer J Hardenbrook MD PC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Professional Wound Specialists PLLC CurrentSince Mar 1, 2025 Accepting new patients
Ming-Wei Wu, Inc CurrentSince May 1, 2024 Accepting new patients
Professional Wound Specialists PLLC CurrentSince Apr 1, 2025 Accepting new patients
United Wound Healing Accountable Care Consultants PLLC Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Premier Wound Solutions Ut LLC Past Accepting new patients
Genesis Advanced Wound Care PC Past Accepting new patients
Pocatello Podiatry Associates PA Past Accepting new patients

Locations

500 S 8th St
Boise, ID 83702

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

2065 E 17th St
Ste A
Idaho Falls, ID 83404
Phone (208) 522-3301

408 W Main St
Rexburg, ID 83440
Phone (208) 356-5656

3750 S Jones Blvd
Ste 120
Las Vegas, NV 89103
Phone (702) 291-8828

5200 Meadows Rd
Ste 200
Lake Oswego, OR 97035
Phone (503) 345-3260

2913 5th Ave NE
Ste 101
Puyallup, WA 98372
Phone (253) 905-0646

1309 Coffeen Ave
Ste 1200
Sheridan, WY 82801
Phone (307) 459-2801

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1205307097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 PALISADES DR",
            "city": "ALPINE",
            "state": "WY",
            "postal_code": "83128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SHOUP AVE W STE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015043",
            "telephone_number": "208-739-9961",
            "fax_number": "208-739-9962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 S Main St",
            "address_2": "#400",
            "address_purpose": "LOCATION",
            "city": "Thayne",
            "state": "WY",
            "postal_code": "83127",
            "country_code": "US",
            "telephone_number": "307-883-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 Palisades Drive",
            "address_purpose": "LOCATION",
            "city": "Alpine",
            "state": "WY",
            "postal_code": "83128",
            "country_code": "US",
            "telephone_number": "208-607-5073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORREZ",
        "first_name": "JESSICA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61117760",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "60960",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202112436",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "APRN-204569",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "39733.1780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.