Active NPI
Jennifer Lynn McIntyre, APRN, FNP-C
- Family Nurse Practitioner
- Meridian, ID
National Provider Identifier
1316647381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 58584
- Practice address
- 2176 E Franklin Rd Ste 100
Meridian, ID 83642-8009 - Phone
- (951) 970-5773
- NPI assigned
- Mar 7, 2023
- Last updated
- May 8, 2024
- 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 | 58584 | ID | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 58584 | ID |
Addresses
Primary practice location
2176 E Franklin Rd Ste 100
Meridian, ID 83642-8009
Mailing address
13248 W Scotfield St
Boise, ID 83713-1902
Phone (208) 789-3625
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
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13248 W Scotfield St
Boise, ID 83713-1902
800 W Main St
Suite 1460
Boise, ID 83702-5983
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58584 | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Idaho LLC | Current | Accepting new patients |
Locations
2176 E Franklin Rd
#100
Meridian, ID 83642
Phone (208) 288-1155
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Meridian, ID
- NPI 1942082730
-
- Family Nurse Practitioner
- Boise, ID
- NPI 1073123220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1316647381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13248 W SCOTFIELD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837131902",
"telephone_number": "208-789-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2176 E FRANKLIN RD STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428009",
"telephone_number": "951-970-5773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-07",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "58584",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ID",
"license": "58584",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.