Individual provider Active NPI

Jason Knighton, NP-C

  • Family Nurse Practitioner
  • Pocatello, ID
National Provider Identifier
1285199869
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60732 Issued in ID
Practice address
2928 Michelle St
Pocatello, ID 83201-8031
Phone
(208) 244-0997
Fax
(208) 561-6902
NPI assigned
Feb 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60732 ID Primary

Addresses

Primary practice location

2928 Michelle St
Pocatello, ID 83201-8031

Mailing address

3189 N Bannock Hwy
Pocatello, ID 83204-3806
Phone (208) 220-3516

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
I20191216002801 ID Practitioner - Nurse Practitioner 3274967708 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pocatello Wellness Clinic LLCGroup PAC ID 9638506611, 2 clinicians
Optimum Health PLLCGroup PAC ID 1153656590, 9 clinicians

Practice addresses (Care Compare)

1155 Yellowstone Ave
Suite D
Pocatello, ID 83201-4369
Phone (208) 637-9610

2928 Michelle St
Pocatello, ID 83201-8031
Phone (208) 244-0997

Hospital & facility affiliations

  • Heritage Home Health Home health agency, Pocatello, ID, CCN 137117
  • Symbii Home Health Home health agency, Chubbuck, ID, CCN 137110
  • Enhabit Home Health of Eastern Idaho Home health agency, Idaho Falls, ID, CCN 137105
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60732IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pocatello Wellness Clinic, LLC Family CurrentSince Sep 14, 2020 Accepting new patients
Optimum Health, PLLC CurrentSince Feb 24, 2023 Accepting new patients
MVH BMC LLC CurrentSince Oct 14, 2019 Accepting new patients
MVH BMC LLC CurrentSince Oct 14, 2019 Accepting new patients

Locations

1441 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-2600

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

1155 Yellowstone Ave
Ste D
Pocatello, ID 83201
Phone (208) 637-9610

500 S 11th Ave
Ste 501
Pocatello, ID 83201
Phone (208) 232-7434

Interoperability endpoints

  • Direct secure messaging: jason.knighton@180866576220164.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1285199869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3189 N BANNOCK HWY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043806",
            "telephone_number": "208-220-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 MICHELLE ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832018031",
            "telephone_number": "208-244-0997",
            "fax_number": "208-561-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHTON",
        "first_name": "JASON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2024-03-09",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "60732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.