Jenny Marie Pinson, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

66608 Issued in ID

Practice address

4553 E Timbersaw Dr
Boise, ID 83716-7098

Phone

(601) 880-9571

NPI assigned

Aug 1, 2012

Last updated

Jan 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Stellar Mental Health and Mediation, LLCGroup PAC ID 5193038552, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Stellar Mental Health & Mediation, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nampa, ID
  • NPI 1902225436
  Medicare reassignment Care Compare group NPD
• Mountain View Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1992035364
  Medicare reassignment NPD
• State of Nevada

  dba Ely Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ely, NV
  • NPI 1760572010
  NPD
• Blue Sky Behavioral Health

  • Clinical Social Worker
  • Nampa, ID
  • NPI 1053199778
  NPD (past)
• Mountain View Behavioral Health, PLLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1124390406
  NPD (past)

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1407102056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 E TIMBERSAW DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837167098",
            "telephone_number": "601-880-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 E TIMBERSAW DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837167098",
            "telephone_number": "601-880-9571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5593 N Glenwood St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "ID",
            "postal_code": "837141336",
            "country_code": "US",
            "telephone_number": "208-322-5354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1665 Old Hot Springs Rd",
            "address_2": "SUITE 150",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897060782",
            "country_code": "US",
            "telephone_number": "775-687-5162",
            "fax_number": "775-687-5103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINSON",
        "first_name": "JENNY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN 001404",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "66608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pine Valley Health LLC
• Pines Counseling and Play Center
• Jonathon James Pingree, LCSW
• Michael Pinkerton, MFT
• Pinnacle Hospice Inc
• Thomas J Pintar, MD
• Brian Taylor Piotrowski, PHARM.D.
• Ellen Piper, LMSW
• Samantha A Pirnie, MS, CADC
• Abigail H. Piron

• Psychiatric/Mental Health Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.

Verify at the official NPI Registry.