Individual provider Active NPI

Jynnah Leigh Schwartzwolf, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1437622776
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
60441 Issued in ID
Practice address
1047 S Wells St Ste 111
Meridian, ID 83642-7997
Phone
(208) 398-3351
Fax
(888) 388-2271
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60441 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 60441 ID Primary

Addresses

Primary practice location

1047 S Wells St Ste 111
Meridian, ID 83642-7997

Mailing address

1047 S Wells St
Suite 111
Meridian, ID 83642
Phone (208) 398-3351

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
I20190320003135 ID Practitioner - Nurse Practitioner 1658611090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Stellar Mental Health and Mediation, LLCGroup PAC ID 5193038552, 2 clinicians

Practice addresses (Care Compare)

1047 S Wells St
Meridian, ID 83642-7997
Phone (208) 398-3351

923 16TH Ave S
Nampa, ID 83651-4731

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Mental Wellness LLC Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients
Stellar Mental Health & Mediation, LLC CurrentSince Jun 26, 2019 Accepting new patients
Dr. Paula M. Nordstrom, LLC PastSince Aug 6, 2019 Accepting new patients
Blue Sky Behavioral Health PastSince Sep 17, 2023 Accepting new patients

Locations

200 N 23rd St
Ste 106
Boise, ID 83702
Phone (208) 225-5802

1047 S Wells St
Ste 111
Meridian, ID 83642
Phone (208) 398-3351

1047 S Wells St
Meridian, ID 83642
Phone (208) 398-3351

923 16th Ave S
Nampa, ID 83651
Phone (208) 639-1514

923 16th Ave S
Ste 200
Nampa, ID 83651
Phone (208) 639-1514

3904 E Flamingo Ave
Ste 200
Nampa, ID 83687
Phone (208) 639-1514

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1437622776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 S WELLS ST",
            "address_2": "SUITE 111",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-398-3351",
            "fax_number": "888-388-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 S WELLS ST STE 111",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427997",
            "telephone_number": "208-398-3351",
            "fax_number": "888-388-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZWOLF",
        "first_name": "JYNNAH",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "60441",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "60441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.