Individual provider Active NPI

Kassandra June Zorn

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1568036663
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53628 Issued in ID
Practice address
1789 S Broadway Ave Ste 100
Boise, ID 83706-3800
Phone
(208) 321-4000
Fax
(208) 482-5505
NPI assigned
May 14, 2021
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53628 ID Primary

Addresses

Primary practice location

1789 S Broadway Ave Ste 100
Boise, ID 83706-3800

Mailing address

1789 S Broadway Ave Ste 100
Boise, ID 83706-3800
Phone (208) 321-4000

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
I20220428001655 ID Practitioner - Nurse Practitioner 0749679686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Direct Orthopedic Care LLCGroup PAC ID 2163648155, 32 clinicians

Practice addresses (Care Compare)

4842 N Cortona Way
Suite 110
Meridian, ID 83646-3171
Phone (208) 321-4000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Orthopedic Care LLC CurrentSince Oct 15, 2023 Accepting new patients
Healing Sense Corporation Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Direct Orthopedic Care LLC CurrentSince Oct 15, 2023 Accepting new patients

Locations

1075 N Curtis Rd
Ste 100
Boise, ID 83706
Phone (208) 377-5166

1789 S Broadway Ave
Ste 100
Boise, ID 83706
Phone (208) 287-0203

7979 W Rifleman St
Boise, ID 83704
Phone (208) 321-4000

7979 W Rifleman St
Ste 110
Boise, ID 83704
Phone (208) 321-4000

3015 E Magic View Dr
Ste 115
Meridian, ID 83642
Phone (208) 321-4000

3015 E Magic View Dr
Ste 130
Meridian, ID 83642
Phone (208) 482-5567

4842 N Cortona Way
Ste 110
Meridian, ID 83646
Phone (208) 321-4000

Organizations & group practices 3

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1568036663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 S BROADWAY AVE STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063800",
            "telephone_number": "208-321-4000",
            "fax_number": "208-482-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 S BROADWAY AVE STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063800",
            "telephone_number": "208-321-4000",
            "fax_number": "208-482-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORN",
        "first_name": "KASSANDRA",
        "middle_name": "JUNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "53628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.