Individual provider Active NPI

Jennifer Dawn Rice, MSN, FNP-C

  • Primary Care Nurse Practitioner
  • Boise, ID
National Provider Identifier
1538631189
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
60215 Issued in ID
Practice address
2316 N Cole Rd Ste B
Boise, ID 83704-7365
Phone
(208) 929-5203
NPI assigned
Dec 20, 2018
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60215 ID
Primary Care Nurse Practitioner 363LP2300X 60215 ID Primary

Addresses

Primary practice location

2316 N Cole Rd Ste B
Boise, ID 83704-7365

Mailing address

615 Smeed Pkwy # 57
Caldwell, ID 83605-8109
Phone (208) 908-3012

Other names 1

  • Jennifer Dawn Amidon Former name

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
I20190410001420 ID Practitioner - Nurse Practitioner 7214278704 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
60215IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Centers of Idaho CurrentSince Aug 23, 2021 Accepting new patients
Two Rivers Medical Clinic, PA CurrentSince Jan 1, 2024 Accepting new patients
Advanced Family Medicine PLLC CurrentSince Aug 23, 2021 Accepting new patients
Mountain Creek Medical, LLC, Jennifer Rice Sole MBR CurrentSince Jun 3, 2025 Accepting new patients
Southern Idaho Health Partners LLC CurrentSince Apr 1, 2019 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Kuna Healthcare Clinic, PLLC Nurse Practitioner PastSince Mar 4, 2019 Accepting new patients
Jones Foot & Ankle LLC PastSince Aug 23, 2021 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

2316 N Cole Rd
Ste B
Boise, ID 83704
Phone (208) 345-6949

8854 W Emerald St
Ste 280
Boise, ID 83704
Phone (208) 377-5005

825 W Deer Flat Rd
#150
Kuna, ID 83634
Phone (208) 404-2262

943 N Linder Rd
Ste 103
Kuna, ID 83634
Phone (208) 565-0978

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

683 E 3rd St
Weiser, ID 83672
Phone (208) 549-0211

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGIFDD/Endpoint/IGIFDD
  • Direct secure messaging: jennifer.rice.1@14191.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1538631189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SMEED PKWY # 57",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836058109",
            "telephone_number": "208-908-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 N COLE RD STE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047365",
            "telephone_number": "208-929-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "60215",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "60215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "AMIDON",
            "middle_name": "DAWN",
            "credential": "MSN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.