Individual provider Active NPI

Jayson Paul Smith, N.P.

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1982202743
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
65851 Issued in ID
Practice address
4971 W Overland Rd
Boise, ID 83705-2822
Phone
(208) 472-5050
Fax
(208) 472-5051
NPI assigned
Oct 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 65851 ID
Pediatric Nurse Practitioner 363LP0200X 65851 ID
Primary Care Nurse Practitioner 363LP2300X 65851 ID
Family Nurse Practitioner 363LF0000X 65851 ID Primary

Addresses

Primary practice location

4971 W Overland Rd
Boise, ID 83705-2822

Mailing address

PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6500

Other names 1

  • Mr. Jason Paul Juhasz Former name

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
I20210413001354 ID Practitioner - Nurse Practitioner 1254749211 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
Alliance Medical Group LLCGroup PAC ID 3971544685, 132 clinicians

Practice addresses (Care Compare)

11197 W Fairview Ave
Boise, ID 83713-7935
Phone (208) 378-8011

Merit-based Incentive Payment System (MIPS)

Final score
84.87 of 100Reported as group
Quality
77.29
Promoting interoperability
97
Improvement activities
40
Cost
74.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65851IDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Group, LLC Family Medicine Current Accepting new patients
Alliance Medical Group, LLC Family Medicine CurrentSince Sep 6, 2022 Accepting new patients
Table Rock Mobile Medicine PLLC Family Past Accepting new patients
Locust Grove Womens Health PLLC PastSince Oct 1, 2020 Accepting new patients

Locations

6052 W State St
Boise, ID 83703
Phone (208) 344-7799

1907 S Broadway Ave
Ste 101
Boise, ID 83706
Phone (208) 345-1222

11197 W Fairview Ave
Boise, ID 83713
Phone (208) 378-8011

8971 W Overland Rd
Boise, ID 83709
Phone (208) 378-4288

7350 W Victory Rd
Boise, ID 83709
Phone (208) 809-2888

4971 W Overland Rd
Boise, ID 83705
Phone (208) 472-5050

300 W Myrtle St
Ste 100
Boise, ID 83702
Phone (208) 472-9082

1475 N Cole Rd
Boise, ID 83704
Phone (208) 375-9964

4815 Cleveland Blvd
Caldwell, ID 83605
Phone (208) 455-3545

512 N 21st Ave
Caldwell, ID 83605
Phone (208) 809-2875

435 S Eagle Rd
Ste 100
Eagle, ID 83616
Phone (208) 609-9130

1895 McGrath Rd
Eagle, ID 83616
Phone (208) 939-8200

10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690

5601 W Chinden Blvd
Garden City, ID 83714
Phone (208) 809-2865

1900 W Chinden Blvd
Meridian, ID 83646
Phone (208) 809-2860

260 S Ten Mile Rd
Meridian, ID 83642
Phone (208) 809-2872

1623 S Wells Ave
Meridian, ID 83642
Phone (208) 489-1450

1648 NW 1st St
Meridian, ID 83642
Phone (208) 888-9393

3280 E Lanark Dr
Meridian, ID 83642
Phone (208) 377-4400

1115 12th Ave Rd
Nampa, ID 83686
Phone (208) 498-1080

1375 N Happy Valley Rd
Nampa, ID 83687
Phone (208) 809-2869

700 Caldwell Blvd
Nampa, ID 83651
Phone (208) 466-6567

Interoperability endpoints

  • Direct secure messaging: jayson.smith@phmg.eclinicaldirectplus.com

Organizations & group practices 4

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1982202743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191050",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837191050",
            "telephone_number": "208-955-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4971 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052822",
            "telephone_number": "208-472-5050",
            "fax_number": "208-472-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAYSON",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "ID",
            "license": "65851",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ID",
            "license": "65851",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "65851",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "65851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "JUHASZ",
            "middle_name": "PAUL",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.