Individual provider Active NPI

Jedd Douglas Walker, FNP-C

  • Family Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1326751132
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
56948 Issued in ID
Practice address
459 Springwood LN
Idaho Falls, ID 83404-8108
Phone
(208) 716-5063
NPI assigned
Dec 27, 2022
Last updated
Dec 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230220001441 ID Practitioner - Nurse Practitioner 9335511336 Reassigns benefits to 3 organizations

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
Rocky Mountain Diabetes and Osteoporosis Center PAGroup PAC ID 5890750483, 15 clinicians

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 100Reported as apm
Quality
84.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Healing Services LLC Family CurrentSince Oct 14, 2025 Accepting new patients
Rocky Mountain Diabetes and Osteoporosis Center PA Endocrinology, Diabetes & Metabolism CurrentSince Apr 1, 2023 Accepting new patients
RM Lab LLC Current Accepting new patients
Ming-Wei Wu, Inc CurrentSince Feb 2, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEFDAA
  • Direct secure messaging: jedd.walker.1@33233.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.