Jenni Lee Borg, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Rigby, ID
NPI 1356096614 · NPPES record last updated Feb 15, 2022
Key facts
- NPI
- 1356096614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71710 (ID)
- Practice address
- 167 E 1St S
Rigby, ID 83442-1401 - Phone
- (208) 745-8747
- NPI assigned
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220509002011 | ID | Practitioner - Nurse Practitioner | 8820475031 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care West Side LLC | Current |
Accepting new patients | |
| CC Pocatello LLC | Current |
Accepting new patients | |
| Mountain View Hospital LLC | Current |
Accepting new patients | |
| Community Care | Current | Accepting new patients | |
| Community Care Pocatello PLLC | Current | Accepting new patients |
Locations
765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448
1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032
404 N 2nd E
Rexburg, ID 83440
Phone (208) 359-1770
167 E 1st S
Rigby, ID 83442
Phone (208) 745-8747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71710 | ID | Yes |
Addresses
Primary practice location
167 E 1St S
Rigby, ID 83442-1401
Mailing address
4314 E 265 N
Rigby, ID 83442-5148
Phone (208) 403-1318
Other names
- Jenni Lee Foster
Other providers in Rigby, ID
- Jana Black
- Ryan Black
- Adam Robert Blakeman
- Kolton Brannon Bleggi
- Danielle Megann Boettcher White
- Rachelle Bosh
- Emily Bowcutt
- Laurie Ann Bowcutt
- Brian J. Decker, MSN, FNPC, PC
- Brightside Dental PLLC
All providers in Rigby, ID · Family Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.