Jacqueline Romrell, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7203990-4405 Issued in UT

Practice address

3067 Eagle Dr
Ammon, ID 83406-1273

Phone

(208) 522-4600

Fax

(208) 552-7521

NPI assigned

Jun 26, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacqueline.romrell@486851367337988.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/13853/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/IGFGAA

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.

• Stat MD LLC

  • Urgent Care Clinic/Center
  • Park City, UT
  • NPI 1225411473
  Medicare reassignment NPD
• Cristina Leon, DO PA

  • Pediatric Cardiology Physician
  • Ammon, ID
  • NPI 1598383929
  NPD
• Just 4 Kids Pediatrics

  • Pediatrics Physician
  • Ammon, ID
  • NPI 1366560971
  NPD
• Stat-MD I

  • Primary Care Clinic/Center
  • Park City, UT
  • NPI 1164063277
  NPD (past)

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1447690235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3067 EAGLE DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834061273",
            "telephone_number": "208-522-4600",
            "fax_number": "208-552-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 EAGLE DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834061273",
            "telephone_number": "208-522-4600",
            "fax_number": "208-552-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMRELL",
        "first_name": "JACQUELINE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7203990-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Rizzette Rivera
• Dorothy Elaine Roberts, PHARMD
• Jamacie Robin
• Ashlee Kate Robinson
• Baylie Robinson
• Kenneth Carlin K.C. Roose
• Root Cause Integrative Medicine LLC
• Thea Corinne Rowley, CBRS, CM, CPSS
• Royal Journeys LLC
• Ruth Patton PLLC

• Family Nurse Practitioner in Ammon, ID
• Providers in Ammon, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.