Individual provider Active NPI

Jenni Kay Jensen, ARNP-C

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1285226084
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
65339 Issued in ID
Practice address
800 W Main St Ste 1460
Boise, ID 83702-5983
Phone
(208) 505-1179
NPI assigned
Feb 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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 65339 ID Primary

Addresses

Primary practice location

800 W Main St Ste 1460
Boise, ID 83702-5983

Mailing address

PO Box 6795
Boise, ID 83707-0795

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
I20210611001427 ID Practitioner - Nurse Practitioner 2264832310 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Aug 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Aug 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Aug 1, 2021 Accepting new patients
Bridgewell Medical, Inc. CurrentSince Jan 16, 2024 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Aug 1, 2021 Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

800 W Main St
Ste 1460
Boise, ID 83702
Phone (208) 297-4091

6140 W Curtisian Ave
Ste 200
Boise, ID 83704
Phone (208) 363-9074

910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

215 E Hawaii Ave
Ste 170
Nampa, ID 83686
Phone (208) 302-6000

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

Interoperability endpoints

  • Direct secure messaging: jjensen1563964@direct.trinity-health.org

Organizations & group practices 6

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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1285226084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6795",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837070795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST STE 1460",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025983",
            "telephone_number": "208-505-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JENNI",
        "middle_name": "KAY",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "65339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.