Individual provider Active NPI

Jennifer Neumayer, NP-C

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1639432131
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-1177A Issued in ID
Practice address
901 N Curtis Rd
Suite 100
Boise, ID 83706-1338
Phone
(208) 378-0080
Fax
(208) 378-0259
NPI assigned
Jun 19, 2012
Last updated
Jan 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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 NP-1177A ID Primary

Addresses

Primary practice location

901 N Curtis Rd
Suite 100
Boise, ID 83706-1338

Mailing address

901 N Curtis Rd
Ste 100
Boise, ID 83706-1394
Phone (208) 378-0080

Other identifiers 1

IdentifierTypeStateIssuer
1215061734MedicaidID

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
I20120726000040 ID Practitioner - Nurse Practitioner 8820254402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boise Valley Asthma and Allergy PAGroup PAC ID 6901860014, 7 clinicians

Practice addresses (Care Compare)

901 N Curtis Rd
Suite 100
Boise, ID 83706-1339
Phone (208) 378-0080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-1177AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boise Valley Asthma & Allergy PA CurrentSince Jun 25, 2012 Accepting new patients
Gem State Neurology PLLC PastSince Jun 23, 2025 Accepting new patients
Boise Kidney & Hypertension PLLC PastSince Jun 25, 2012 Accepting new patients

Locations

901 N Curtis Rd
Ste 100
Boise, ID 83706
Phone (208) 378-0080

1825 S Kimball Ave
Caldwell, ID 83605
Phone (208) 454-0567

323 E Riverside Dr
Ste 204
Eagle, ID 83616
Phone (208) 378-0080

2320 E Gala St
Ste 500
Meridian, ID 83642
Phone (208) 378-0080

16060 Idaho Center Blvd
Nampa, ID 83687
Phone (208) 278-6338

4424 E Flamingo Ave
Ste 340
Nampa, ID 83687
Phone (208) 378-0080

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1639432131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD",
            "address_2": "STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061394",
            "telephone_number": "208-378-0080",
            "fax_number": "208-378-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD",
            "address_2": "SUITE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061338",
            "telephone_number": "208-378-0080",
            "fax_number": "208-378-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMAYER",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1177A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215061734",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.