Active NPI
Josie F Farmer, NP-C
- Family Nurse Practitioner
- Meridian, ID
National Provider Identifier
1730414947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP 936A
- Practice address
- 4740 N Penngrove Way
Ste 100
Meridian, ID 83646 - Phone
- (208) 938-3663
- Fax
- (208) 938-3664
- NPI assigned
- Oct 5, 2009
- Last updated
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP 936A | ID | Primary |
Addresses
Primary practice location
4740 N Penngrove Way
Ste 100
Meridian, ID 83646
Mailing address
4740 N Penngrove Way
Ste 100
Meridian, ID 83646
Phone (208) 938-3663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1349042 | Other | ID | MEDICARE PTAN |
| 808552900 | Medicaid | ID |
Other names 1
- Josie Moore
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4740 N Penngrove Way
Suite 100
Meridian, ID 83646-7446
Phone (208) 938-3663
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 936A | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Family Medicine PLLC | Current | Accepting new patients |
Locations
13150 W Persimmon Ln
Boise, ID 83713
Phone (208) 510-9890
4740 N Penngrove Way
Ste 100
Meridian, ID 83646
Phone (208) 938-3663
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBBGCA
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Meridian, ID
- NPI 1952335929
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pocatello, ID
- NPI 1396074027
-
dba Heritage Hospice
- Community Based Hospice Care Agency
- Pocatello, ID
- NPI 1629319280
-
- Community Based Hospice Care Agency
- Twin Falls, ID
- NPI 1376276030
-
- Critical Access Hospital
- Arco, ID
- NPI 1114925047
-
dba St Lukes Magic Valley - Air Ambulance
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
-
dba Visions Home Health
- Home Health Agency
- Twin Falls, ID
- NPI 1235137761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1730414947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 N PENNGROVE WAY",
"address_2": "STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83646",
"telephone_number": "208-938-3663",
"fax_number": "208-938-3664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 N PENNGROVE WAY",
"address_2": "STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "83646",
"telephone_number": "208-938-3663",
"fax_number": "208-938-3664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARMER",
"first_name": "JOSIE",
"middle_name": "F",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-05",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP 936A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "1349042",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808552900",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOSIE",
"last_name": "MOORE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.