Active NPI
Jedd Douglas Walker, FNP-C
- Family Nurse Practitioner
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 56948
- Practice address
- 459 Springwood LN
Idaho Falls, ID 83404-8108 - Phone
- (208) 716-5063
- NPI assigned
- Dec 27, 2022
- Last updated
- Dec 27, 2022
- 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 | 56948 | ID | Primary |
Addresses
Primary practice location
459 Springwood LN
Idaho Falls, ID 83404-8108
Mailing address
459 Springwood LN
Idaho Falls, ID 83404-8108
Phone (208) 716-5063
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
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1600 John Adams Pkwy
Suite 101
Idaho Falls, ID 83401-4300
Phone (208) 716-5063
3910 Washington Pkwy
Idaho Falls, ID 83404-7596
Phone (208) 523-1122
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.72 of 100
- Quality
- 84.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevated Healing Services LLC | Family | Current | Accepting new patients |
| Rocky Mountain Diabetes and Osteoporosis Center PA | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| RM Lab LLC | Current | Accepting new patients | |
| Ming-Wei Wu, Inc | Current | Accepting new patients |
Locations
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
1600 John Adams Pkwy
Ste 101
Idaho Falls, ID 83401
Phone (208) 716-5063
3910 Washington Pkwy
Idaho Falls, ID 83404
Phone (208) 522-2996
444 Hospital Way
Ste 112
Pocatello, ID 83201
444 Hospital Way
Ste 600
Pocatello, ID 83201
Phone (208) 295-2221
3750 S Jones Blvd
Ste 120
Las Vegas, NV 89103
Phone (702) 735-6209
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FEFDAA
- jedd.walker.1@33233.direct.athenahealth.com
- jwalker@ehs-id.direct.office.nextgen.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endocrinology, Diabetes & Metabolism Physician
- Idaho Falls, ID
- NPI 1336220243
-
dba Professional Wound Specialists
- Surgery Physician
- Las Vegas, NV
- NPI 1699975144
ID
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1285189548
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1326751132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 SPRINGWOOD LN",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048108",
"telephone_number": "208-716-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 SPRINGWOOD LN",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048108",
"telephone_number": "208-716-5063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "JEDD",
"middle_name": "DOUGLAS",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-27",
"last_updated": "2022-12-27",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "56948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.