Active NPI
Ji Young An
- Family Nurse Practitioner
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F10200434
- Practice address
- 3250 W Cherry LN
Meridian, ID 83642-1120 - Phone
- (208) 302-0600
- Fax
- (208) 302-0755
- NPI assigned
- Oct 25, 2020
- Last updated
- Apr 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F10200434 | ID | Primary |
| Diabetes Educator Registered Nurse | 163WD0400X | 44024 | ID |
Addresses
Primary practice location
3250 W Cherry LN
Meridian, ID 83642-1120
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170
Other practice location 1
1226 W River St
Boise, ID 83702-7049
Phone (208) 331-1155
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Boise | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10965 W Overland Rd
Boise, ID 83709-1569
Phone (208) 900-9901
1610 Caldwell Blvd
Nampa, ID 83651-1728
Phone (208) 207-8500
3185 E Ustick Rd
Meridian, ID 83646-5056
Phone (208) 296-7100
740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone 20854291111026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44024 | ID | MD | Diabetes Educator Registered Nurse |
| F10200434 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Provider Group | Current | Accepting new patients | |
| Urgent Care Associates PLLC | Current | Accepting new patients | |
| Sterling Provider Group | Current | Accepting new patients |
Locations
10965 W Overland Rd
Boise, ID 83709
Phone (208) 900-9901
1129 S Broadway Ave
Boise, ID 83706
Phone (208) 795-9790
6965 N Glenwood St
Boise, ID 83714
Phone (208) 853-3000
1404 Pomerelle Ave
Ste A1
Burley, ID 83318
Phone (208) 878-8783
5605 Northside Xing
Chubbuck, ID 83202
Phone (208) 547-5062
507 S Main St
Hailey, ID 83333
Phone (208) 788-0061
7017 Daisy Ln
Idaho Falls, ID 83402
Phone (208) 534-5878
740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111
2201 Thain Grade
Lewiston, ID 83501
Phone (208) 717-3100
1693 S Meridian Rd
#110
Meridian, ID 83642
3185 E Ustick Rd
Meridian, ID 83646
Phone (208) 296-7100
1610 Caldwell Blvd
Nampa, ID 83651
Phone (208) 207-8500
900 N Highway 41
Ste 2
Post Falls, ID 83854
Phone (208) 457-7100
130 W Main St
Rexburg, ID 83440
Phone (208) 356-8818
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Idaho Falls, ID
- NPI 1205300407
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Preferred Provider Organization
- Idaho Falls, ID
- NPI 1609046408
-
- Urgent Care Clinic/Center
- Butte, MT
- NPI 1871220038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1205435757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-367-5170",
"fax_number": "208-367-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 W CHERRY LN",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421120",
"telephone_number": "208-302-0600",
"fax_number": "208-302-0755"
}
],
"practiceLocations": [
{
"address_1": "1226 W River St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837027049",
"country_code": "US",
"telephone_number": "208-331-1155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AN",
"first_name": "JI YOUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-25",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "F10200434",
"primary": true
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "ID",
"license": "44024",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Boise",
"affiliation": "N",
"endpointDescription": "Files",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Boise",
"address_1": "1226 W River St",
"city": "Boise",
"state": "ID",
"country_code": "US",
"postal_code": "837027049",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Meridian, ID
- John Michael Amini, R.PH
- Cristina A Ammann, LMSW
- Amsurg Meridian Anesthesia LLC
- Amy Tucker Counseling
- An Angels Touch Home Care and Nursing, Inc
- Sungjoon David An, PHARMD
- Anchor Health Homecare Id LLC
- Anchor Pointe Inc
- Anchored & Renewed Hope Counseling
- Ancora Hospice & Palliative Services, LLC (Ancora Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.