Individual provider Active NPI

Jacqueline J. McCoy, F.N.P., M.S.N.

  • Nurse Practitioner
  • Nampa, ID
National Provider Identifier
1215926282
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7871970 Issued in ID
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

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
175529001MedicaidTX
1215926282MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ID2 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
I20050926001004 TX Practitioner - Nurse Practitioner 0143254441 Reassigns benefits to 2 organizations
I20251029004383 ID Practitioner - Nurse Practitioner 0143254441 Reassigns benefits to 1 organization

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
Community Health Clinics IncGroup PAC ID 4082527353, 75 clinicians

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

LicenseStateTypeSpecialty
7871970IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Y Vida, P.a. CurrentSince Oct 7, 2024 Accepting new patients
Community Health Clinics, Inc. Nurse Practitioner Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 2008 Accepting new patients
Community Health Clinics, Inc. Nurse Practitioner CurrentSince Oct 13, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Oct 1, 2008 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Community Health Clinics, Inc. CurrentSince Oct 13, 2025 Accepting new patients
El Paso County Hospital District PastSince Jan 14, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.