Jamesen Birkel, MSN, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Idaho Falls, ID
NPI 1992327738 · NPPES record last updated Feb 10, 2023
Key facts
- NPI
- 1992327738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 71968 (ID)
- Practice address
- 2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404-6371 - Phone
- (208) 419-3002
- Fax
- (208) 656-5652
- NPI assigned
- May 14, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ascend LLC
Practice addresses (Care Compare)
2001 S Woodruff Ave
Suite 9
Idaho Falls, ID 83404-6371
Phone (208) 419-3002
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220329002164 | ID | Practitioner - Nurse Practitioner | 1456764919 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146643 | KS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamesen Birkel Pmhnp, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Ascend LLC | Current |
Accepting new patients |
Locations
2001 S Woodruff Ave
Ste 9
Idaho Falls, ID 83404
Phone (208) 419-3002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 146643 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5379777022 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71968 | ID | Yes |
Addresses
Primary practice location
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404-6371
Mailing address
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404-6371
Phone (208) 419-3002
Other providers in Idaho Falls, ID
- Denise Loraine Bird
- Kara Bird
- Rebekah J Bird
- Taylor Bird
- Hilary Birdwell
- McKayla Bisbee
- Kelli M Bishop
- Matthew Allen Bishop
- Raelene Ann Bishop
- Bruce N Bjornson
All providers in Idaho Falls, ID · Psychiatric/Mental Health Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.