Individual provider Active NPI

J'Lene Ward, FNP

  • Family Medicine Physician
  • Idaho Falls, ID
National Provider Identifier
1346884889
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
61108 Issued in ID
Practice address
2001 S Woodruff Ave Ste 15B
Idaho Falls, ID 83404-6372
Phone
(208) 357-4633
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 61108 ID Primary

Addresses

Primary practice location

2001 S Woodruff Ave Ste 15B
Idaho Falls, ID 83404-6372

Mailing address

3530 Taylorview LN
Ammon, ID 83406-7504
Phone (208) 221-9014

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
I20191224000015 ID Practitioner - Nurse Practitioner 2668806738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Hub PLLCGroup PAC ID 9537422662, 6 clinicians

Practice addresses (Care Compare)

2001 S Woodruff Ave
Suite 15B
Idaho Falls, ID 83404-6372
Phone (208) 357-4633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61108IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flower Aston Nutrition LLC CurrentSince Feb 4, 2024 Accepting new patients
Family Medicine Hub PLLC CurrentSince Nov 18, 2019 Accepting new patients

Locations

2001 S Woodruff Ave
Ste 15B
Idaho Falls, ID 83404
Phone (208) 357-4633

Interoperability endpoints

  • Direct secure messaging: j.lene.ward.1@19202.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1346884889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 TAYLORVIEW LN",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834067504",
            "telephone_number": "208-221-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S WOODRUFF AVE STE 15B",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046372",
            "telephone_number": "208-357-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "J'LENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "61108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.