Active NPI
Jason Knighton, NP-C
- Family Nurse Practitioner
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 60732
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Symbii Home Health
- Enhabit Home Health of Eastern Idaho
- Portneuf Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60732 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocatello Wellness Clinic, LLC | Family | Current | Accepting new patients |
| Optimum Health, PLLC | Current | Accepting new patients | |
| MVH BMC LLC | Current | Accepting new patients | |
| MVH BMC LLC | Current | 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
- 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.
-
- Emergency Medicine Physician
- Pocatello, ID
- NPI 1306401575
-
- Family Nurse Practitioner
- Pocatello, ID
- NPI 1437615952
-
- Family Medicine Physician
- Blackfoot, ID
- NPI 1649699174
-
- Rural Health Clinic/Center
- Blackfoot, ID
- NPI 1467816579
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1700167400
-
- Home Health Agency
- Pocatello, ID
- NPI 1396074027
-
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
-
- Home Health Agency
- Chubbuck, ID
- NPI 1477177921
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2024; 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.