Individual provider Active NPI

Jennifer Sue Karns, FNP

  • Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1205430410
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
67228 Issued in ID
Practice address
2275 Channing Way
Idaho Falls, ID 83404-8012
Phone
(208) 900-3434
NPI assigned
Nov 28, 2020
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 67228 ID Primary
Registered Nurse 163W00000X 1628612 CO
Registered Nurse 163W00000X 201506784 OR

Addresses

Primary practice location

2275 Channing Way
Idaho Falls, ID 83404-8012

Mailing address

5037 E Ball Cir
Iona, ID 83427-1210
Phone (541) 699-7333

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
I20210519001810 ID Practitioner - Nurse Practitioner 6800295171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabeth a Sharp-Marsden FNP PLLCGroup PAC ID 2163764663, 4 clinicians
Santibanez Pac IdahoGroup PAC ID 2961846209, 7 clinicians

Practice addresses (Care Compare)

2275 Channing Way
Idaho Falls, ID 83404-8012
Phone (208) 900-3434

840 E Elva St
Idaho Falls, ID 83401-2801
Phone (208) 523-4795

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1628612COMDRegistered Nurse
201506784ORMDRegistered Nurse
67228IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santibanez Pac Idaho Nurse Practitioner CurrentSince Jun 25, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

840 E Elva St
Idaho Falls, ID 83401
Phone (208) 523-4795

Interoperability endpoints

  • Direct secure messaging: jenniferkarn@mwafh-id.direct.office.nextgen.com

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, 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": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1205430410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5037 E BALL CIR",
            "city": "IONA",
            "state": "ID",
            "postal_code": "834271210",
            "telephone_number": "541-699-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048012",
            "telephone_number": "208-900-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNS",
        "first_name": "JENNIFER",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-28",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "67228",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1628612",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201506784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.