Janice Pasqualin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP1017A Issued in ID

Practice address

11771 N River Rd
Payette, ID 83661-5085

Phone

(810) 265-8661

NPI assigned

Dec 2, 2010

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2026 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8016/brand/1/csg/1/fhir/r4

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.

• Healthcare With Heart LLC

  • Family Medicine Physician
  • Payette, ID
  • NPI 1053521344

  Family

  NPD (past)

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1487956090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11771 N RIVER RD",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836615085",
            "telephone_number": "810-265-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11771 N RIVER RD",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836615085",
            "telephone_number": "810-265-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUALIN",
        "first_name": "JANICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP1017A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Murata, MSW
• Tara Lee North, MFT INTERN
• Northwest Hospice, LLC
• Justin Ollerton, DMD
• Gina L Osterloth, BA, CADC
• Paul Concidine DDS PLLC
• Payette Chiropractic P.C.
• Payette of Cascadia, LLC
• Payette Senior Center
• Spiah Charias Perza, LCSW

• All providers in Payette, ID
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.