Individual provider Active NPI

Jennifer Lynn Newman, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1710132931
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
19792A Issued in ID
Practice address
3520 E Louise Dr
Meridian, ID 83642-6304
Phone
(208) 888-0909
Fax
(208) 888-5825
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 19792A ID Primary

Addresses

Primary practice location

3520 E Louise Dr
Meridian, ID 83642-6304

Mailing address

3520 E Louise Dr
Meridian, ID 83642-6304
Phone (208) 888-0909

Other practice location 1

333 N 1st St Ste 240
Boise, ID 83702-6132
Phone (208) 338-8900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.newman.p1@direct.obgynidaho.nextgenshare.com

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
I20090626000590 ID Practitioner - Nurse Practitioner 0345391686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Associates, PAGroup PAC ID 4082519467, 15 clinicians

Practice addresses (Care Compare)

3520 E Louise Dr
Meridian, ID 83642-6304
Phone (208) 888-0909

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19792AIDMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T-Medica Mobil Anesthesia Inc. CurrentSince Apr 17, 2022 Accepting new patients
West Valley Medical Group Specialty Services LLC CurrentSince Nov 12, 2019 Accepting new patients
OB-GYN Associates, PA CurrentSince Jul 2, 2018 Accepting new patients

Locations

333 N 1st St
Ste 240
Boise, ID 83702
Phone (208) 338-8900

315 E Elm St
Ste 310
Caldwell, ID 83605
Phone (208) 454-2035

875 S Vanguard Way
Ste 210
Meridian, ID 83642

3520 E Louise Dr
Meridian, ID 83642
Phone (208) 454-2035

Interoperability endpoints

  • Direct secure messaging: jennifer.newman.p1@direct.obgynidaho.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1710132931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 E LOUISE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426304",
            "telephone_number": "208-888-0909",
            "fax_number": "208-888-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 E LOUISE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426304",
            "telephone_number": "208-888-0909",
            "fax_number": "208-888-5825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N 1st St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026132",
            "country_code": "US",
            "telephone_number": "208-338-8900",
            "fax_number": "208-331-2418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "ID",
            "license": "19792A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.newman.p1@direct.obgynidaho.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3520 E Louise Dr",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836426304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.