Active NPI
Jacqueline J. McCoy, F.N.P., M.S.N.
- Nurse Practitioner
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7871970
- Practice address
- 207 1St St S
Nampa, ID 83651-3703 - Phone
- (208) 466-7869
- Fax
- (208) 466-5359
- NPI assigned
- Oct 20, 2005
- 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 | 628905 | TX | |
| Nurse Practitioner | 363L00000X | 7871970 | ID | Primary |
Addresses
Primary practice location
207 1St St S
Nampa, ID 83651-3703
Mailing address
PO Box 9
Nampa, ID 83653-0009
Phone (208) 467-4431
Other practice location 1
4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7415
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175529001 | Medicaid | TX | |
| 1215926282 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 2ND St
Melba, ID 83641-5199
Phone (208) 495-1011
201 Main St
Marsing, ID 83639
Phone (208) 896-4159
207 1St St S
Nampa, ID 83651-3703
Phone (208) 466-7869
300 S 23Rd St
Boise, ID 83702-9100
Phone (208) 344-3512
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7871970 | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Y Vida, P.a. | Current | Accepting new patients | |
| Community Health Clinics, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Community Health Clinics, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Community Health Clinics, Inc. | Current | Accepting new patients | |
| El Paso County Hospital District | Past | Accepting new patients | |
| Community Health Clinics, Inc. | Past | Accepting new patients |
Locations
300 S 23rd St
Boise, ID 83702
Phone (208) 344-3512
150 2nd St
Melba, ID 83641
Phone (208) 495-1011
223 16th Ave N
Nampa, ID 83687
Phone (208) 318-1376
207 1st St S
Nampa, ID 83651
Phone (208) 318-1376
6974 Gateway Blvd E
Ste F
El Paso, TX 79915
Phone (915) 540-4251
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
1335 Geronimo Dr
El Paso, TX 79925
3329 Montana Ave
El Paso, TX 79903
Phone (915) 562-7101
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
4800 Alberta Ave
#101
El Paso, TX 79905
Phone (915) 215-4478
Interoperability endpoints
- jmccoy837138@direct.ochin.org
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Nampa, ID
- NPI 1457309122
Nurse Practitioner
-
- Family Medicine Physician
- El Paso, TX
- NPI 1043287287
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Federally Qualified Health Center (FQHC)
- Boise, ID
- NPI 1346254026
-
- Federally Qualified Health Center (FQHC)
- Caldwell, ID
- NPI 1831574276
Nurse Practitioner
-
- Family Medicine Physician
- El Paso, TX
- NPI 1124072681
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- Federally Qualified Health Center (FQHC)
- Nampa, ID
- NPI 1689688459
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1215926282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "NAMPA",
"state": "ID",
"postal_code": "836530009",
"telephone_number": "208-467-4431",
"fax_number": "208-466-5359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 1ST ST S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836513703",
"telephone_number": "208-466-7869",
"fax_number": "208-466-5359"
}
],
"practiceLocations": [
{
"address_1": "4815 Alameda Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052705",
"country_code": "US",
"telephone_number": "915-521-7415",
"fax_number": "915-521-7920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOY",
"first_name": "JACQUELINE",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "F.N.P., M.S.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-20",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "628905",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "7871970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175529001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215926282",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.