Individual provider Active NPI

Jordan Christine Forbush, FNP-BC

  • Nurse Practitioner
  • Omak, WA
National Provider Identifier
1821680166
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61391327 Issued in WA
Practice address
916 Koala Dr
Omak, WA 98841-9759
Phone
(509) 663-8711
NPI assigned
Feb 8, 2021
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210519003174 ID Practitioner - Nurse Practitioner 5496154684 Reassigns benefits to 6 organizations
I20230908001695 WA Practitioner - Nurse Practitioner 5496154684 Reassigns benefits to 2 organizations
I20250205001281 UT Practitioner - Nurse Practitioner 5496154684 Reassigns benefits to 2 organizations
I20250725001506 OR Practitioner - Nurse Practitioner 5496154684 Reassigns benefits to 1 organization

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
St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

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

LicenseStateTypeSpecialty
AP61391327WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Hub PLLC Nurse Practitioner CurrentSince May 7, 2021 Accepting new patients
Moab Valley Healthcare, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Community Care Pocatello PLLC Current Accepting new patients
Moab Valley Healthcare, Inc. CurrentSince Oct 7, 2025 Accepting new patients
Community Care West Side LLC CurrentSince Jan 21, 2022 Accepting new patients
Peacehealth Networks on Demand, LLC CurrentSince Jul 11, 2025 Accepting new patients
CC Pocatello LLC CurrentSince Jan 21, 2022 Accepting new patients
Gritman Medical Center Inc CurrentSince Mar 20, 2023 Accepting new patients
Mountain View Hospital LLC CurrentSince Jan 21, 2022 Accepting new patients
Moab Valley Healthcare, Inc CurrentSince Mar 1, 2025 Accepting new patients
Gritman Medical Center Inc. CurrentSince Mar 20, 2023 Accepting new patients
Community Care Current Accepting new patients
St Luke's Clinic LLC CurrentSince Oct 9, 2025 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Flower Aston Nutrition LLC CurrentSince Feb 4, 2024 Accepting new patients
Peacehealth Networks on Demand, LLC PastSince Aug 1, 2020 Accepting new patients
Zoomcare Urgent Care LLC PastSince Aug 6, 2023 Accepting new patients
Peacehealth Networks on Demand, LLC PastSince Aug 1, 2020 Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients
Peacehealth Networks on Demand, LLC PastSince Aug 1, 2020 Accepting new patients
Moab Valley Healthcare Inc Past Accepting new patients
Peacehealth Networks on Demand, LLC PastSince Aug 1, 2020 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.

View all 25

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.