NPIMap

Individual provider Active NPI

Jeanette Hazel Marie Reiners, DNP, FNP

  • Family Nurse Practitioner
  • Fruitland, ID
National Provider Identifier
1609418722
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
62628 Issued in ID
Practice address
910 NW 16TH St
Fruitland, ID 83619-2265
Phone
(208) 452-8000
NPI assigned
Oct 9, 2019
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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 62628 ID Primary

Addresses

Primary practice location

910 NW 16TH St
Fruitland, ID 83619-2265

Mailing address

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 452-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200122002258 ID Practitioner - Nurse Practitioner 8022443381 Reassigns benefits to 4 organizations
I20220825001489 OR Practitioner - Nurse Practitioner 8022443381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Np2U LLCGroup PAC ID 4486876240, 6 clinicians

Practice addresses (Care Compare)

Weiser, ID 83672
Phone (360) 930-4174

Ontario, OR 97914
Phone (360) 930-4174

1000 S 16TH St
Suite C
Payette, ID 83661-3403
Phone (208) 642-9222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62628IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Np2U, LLC CurrentSince Jul 16, 2024 Accepting new patients
Valley Family Health Care, Inc Current Accepting new patients
Restoration Health LLC Family CurrentSince Aug 15, 2025 Accepting new patients
Valley Family Health Care Inc CurrentSince Aug 10, 2022 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Sep 10, 2024 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Sep 10, 2024 Accepting new patients
Restoration Health LLC Current Accepting new patients
Valley Family Health Care, Inc CurrentSince Aug 10, 2022 Accepting new patients
Western Pacemaker Clinic, PLLC PastSince Oct 13, 2019 Accepting new patients

Locations

1675 E Riverside Dr
Ste 200
Eagle, ID 83616
Phone (208) 207-2726

207 E 12th St
Emmett, ID 83617
Phone (208) 365-1065

1000 S 16th St
Ste C
Payette, ID 83661
Phone (208) 637-2273

1441 NE 10th Ave
Payette, ID 83661
Phone (208) 642-9376

402 SE G St
Grants Pass, OR 97526
Phone (541) 476-1583

896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038

7632 SW Durham Rd
Ste 105
Tigard, OR 97224
Phone (844) 744-2200

789 Washington St W
Vale, OR 97918
Phone (503) 473-2101

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

Interoperability endpoints

  • Direct secure messaging: jeanette.reiners@1064476925689860.direct.elationemr.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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1609418722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-452-8000",
            "fax_number": "208-452-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NW 16TH ST",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192265",
            "telephone_number": "208-452-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINERS",
        "first_name": "JEANETTE",
        "middle_name": "HAZEL MARIE",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "62628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitland, ID

Sources for this page

Verify at the official NPI Registry.