NPIMap

Individual provider Active NPI

Jocele Skinner, MD

  • Family Medicine Physician
  • Caldwell, ID
National Provider Identifier
1831133164
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M8932 Issued in ID
Practice address
315 E Elm St Ste 201
Caldwell, ID 83605-4857
Phone
(208) 514-2528
Fax
(208) 375-2217
NPI assigned
Jun 16, 2006
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M8932 ID Primary

Addresses

Primary practice location

315 E Elm St Ste 201
Caldwell, ID 83605-4857

Mailing address

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Other identifiers 1

IdentifierTypeStateIssuer
806357800MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041013000194 ID Practitioner - Family Practice 5193785335 Reassigns benefits to 2 organizations
I20120302000164 OR Practitioner - HospitalistPractitioner - Family Practice 5193785335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Valley Medical Associates IncGroup PAC ID 9931467289, 28 clinicians
Full Circle Health IncGroup PAC ID 6709986797, 106 clinicians

Practice addresses (Care Compare)

1717 Arlington Ave
Caldwell, ID 83605-4802
Phone (208) 455-3917

315 E Elm St
Suite 201
Caldwell, ID 83605-4857
Phone (208) 514-2528

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M8932IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Medical Center- Ontario Inc Current Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince May 28, 2024 Accepting new patients
Full Circle Health, Inc. CurrentSince Jul 3, 2023 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince May 28, 2024 Accepting new patients

Locations

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

315 E Elm St
Ste 100
Caldwell, ID 83605
Phone (208) 302-7100

315 E Elm St
Ste 201
Caldwell, ID 83605
Phone (208) 514-2528

910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

1019 3rd Ave S
Payette, ID 83661
Phone (208) 642-3396

1050 SW 3rd Ave
Ste 1600
Ontario, OR 97914
Phone (541) 881-2360

Interoperability endpoints

  • Direct secure messaging: jskinner1563304@direct.trinity-health.org
  • Direct secure messaging: jskinner635995@direct.ochin.org

Organizations & group practices 5

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1831133164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049251",
            "telephone_number": "208-514-2500",
            "fax_number": "208-375-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E ELM ST STE 201",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054857",
            "telephone_number": "208-514-2528",
            "fax_number": "208-375-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "JOCELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M8932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806357800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.