Active NPI
Jordan Christine Forbush, FNP-BC
- Nurse Practitioner
- Omak, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61391327
- Practice address
- 916 Koala Dr
Omak, WA 98841-9759 - Phone
- (509) 663-8711
- NPI assigned
- Feb 8, 2021
- Last updated
- Oct 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61391327 | WA | Primary |
| Nurse Practitioner | 363L00000X | 66742 | ID | |
| Nurse Practitioner | 363L00000X | 14191887-4405 | UT |
Addresses
Primary practice location
916 Koala Dr
Omak, WA 98841-9759
Mailing address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Other practice location 1
476 Williams Way
Moab, UT 84532-2186
Phone (435) 719-5599
Other practice location 2
775 Pole Line Rd W Ste 103
Twin Falls, ID 83301-5819
Phone (208) 814-8375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, WA, UT, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
Practice addresses (Care Compare)
746 N College Rd
Twin Falls, ID 83301-3486
775 Pole Line Rd W
Twin Falls, ID 83301-5819
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61391327 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Hub PLLC | Nurse Practitioner | Current | Accepting new patients |
| Moab Valley Healthcare, Inc. | Current | Accepting new patients | |
| Community Care Pocatello PLLC | Current | Accepting new patients | |
| Moab Valley Healthcare, Inc. | Current | Accepting new patients | |
| Community Care West Side LLC | Current | Accepting new patients | |
| Peacehealth Networks on Demand, LLC | Current | Accepting new patients | |
| CC Pocatello LLC | Current | Accepting new patients | |
| Gritman Medical Center Inc | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Moab Valley Healthcare, Inc | Current | Accepting new patients | |
| Gritman Medical Center Inc. | Current | Accepting new patients | |
| Community Care | Current | Accepting new patients | |
| St Luke's Clinic LLC | Current | Accepting new patients | |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Flower Aston Nutrition LLC | Current | Accepting new patients | |
| Peacehealth Networks on Demand, LLC | Past | Accepting new patients | |
| Zoomcare Urgent Care LLC | Past | Accepting new patients | |
| Peacehealth Networks on Demand, LLC | Past | Accepting new patients | |
| Ozark Tri-County Health Care Consortium | Past | Accepting new patients | |
| Peacehealth Networks on Demand, LLC | Past | Accepting new patients | |
| Moab Valley Healthcare Inc | Past | Accepting new patients | |
| Peacehealth Networks on Demand, LLC | Past | Accepting new patients | |
| St Luke's Magic Valley Regional Medical Center LTD | Past | Accepting new patients |
Locations
2001 S Woodruff Ave
Ste 15B
Idaho Falls, ID 83404
Phone (208) 357-4633
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448
2730 Channing Way
Idaho Falls, ID 83404
Phone (208) 542-7100
765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600
623 S Main St
Ste 1
Moscow, ID 83843
Phone (208) 882-2011
700 S Main St
Moscow, ID 83843
Phone (208) 746-7555
1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032
404 N 2nd E
Rexburg, ID 83440
Phone (208) 359-1770
167 E 1st S
Rigby, ID 83442
Phone (208) 745-8747
746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230
775 Pole Line Rd W
Ste 103
Twin Falls, ID 83301
Phone (208) 814-8150
1662 NW 23rd Ave
Portland, OR 97210
450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191
476 W Williams Way
Moab, UT 84532
Phone (435) 719-3500
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
Organizations & group practices 25
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.
-
dba St Lukes Clinic - Magic Valley/Jerome
- Family Medicine Physician
- Twin Falls, ID
- NPI 1790718229
-
dba Community Care Pocatello
- Family Medicine Physician
- Pocatello, ID
- NPI 1538517156
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1295009785
-
dba Blair Family Medicine
- Nurse Practitioner
- Idaho Falls, ID
- NPI 1134620107
-
- Critical Access Hospital
- Moscow, ID
- NPI 1619988144
-
dba Moab Regional Hospital
- Critical Access Hospital
- Moab, UT
- NPI 1770513236
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
dba Whitman Hospital & Medical Center
- Critical Access Hospital
- Colfax, WA
- NPI 1922009448
-
dba Zoom Management
- General Practice Physician
- Tigard, OR
- NPI 1023582178
-
dba Confluence Health
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1790708832
-
- Urgent Care Clinic/Center
- Pocatello, ID
- NPI 1265714760
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Whitman Hospital & Medical Center
- Critical Access Hospital
- Colfax, WA
- NPI 1922009448
-
dba Moab Regional Hospital
- Critical Access Hospital
- Moab, UT
- NPI 1770513236
-
dba Moab Regional Recovery Center
- Methadone Clinic
- Moab, UT
- NPI 1285380394
Hospital
-
dba Los Alamos Medical Center
- Rural Acute Care Hospital
- Los Alamos, NM
- NPI 1285701623
-
dba St Lukes Magic Valley - Air Ambulance
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1821680166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028",
"telephone_number": "509-663-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 KOALA DR",
"city": "OMAK",
"state": "WA",
"postal_code": "988419759",
"telephone_number": "509-663-8711"
}
],
"practiceLocations": [
{
"address_1": "476 Williams Way",
"address_purpose": "LOCATION",
"city": "Moab",
"state": "UT",
"postal_code": "845322186",
"country_code": "US",
"telephone_number": "435-719-5599",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "775 Pole Line Rd W Ste 103",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833015819",
"country_code": "US",
"telephone_number": "208-814-8375",
"fax_number": "208-814-8376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORBUSH",
"first_name": "JORDAN",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-08",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61391327",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "66742",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "14191887-4405",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omak, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.