JENNIFER WOODBURN
NPI 1003339268
Nurse Practitioner in Boise, ID

Active since July 19, 2017PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
190 E BANNOCK ST, BOISE, ID 83712(208) 381-5015 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2022, Dec 21, 2020, Sep 3, 2020 and 3 more (6 updates tracked since 2017).

About Jennifer Woodburn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER WOODBURN (NPI 1003339268) is an individual nurse practitioner in Boise, Idaho, licensed in Idaho (71924) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Anthem.

NPPES Registry Identity

NPI1003339268
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER WOODBURN
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 19, 2017
Last NPPES UpdateMay 9, 20226 updates tracked since enumeration
NPPES CertifiedNovember 7, 2021
NPI 1003339268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in ID · 71924 Licensed in AZ · RN166862 Licensed in AZ · AP10354
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

190 E BANNOCK ST, Boise, ID 83712

Secondary Practice Location 1

Location 142104 N Venture Dr Ste D118Anthem, AZ 85086-3837 · Phone (623) 505-6565

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer Woodburn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092087973
PECOS Enrollment IDI20220621002369
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services78 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services41 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
31 services29 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Treasure Valley Hospital

Acute Care Hospitals · Boise, ID
OwnershipProprietary
CMS Certification Number130063
Location8800 West Emerald StreetBoise, ID 83704 · Ada County

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Ontario

Acute Care Hospitals · Ontario, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380052
Location351 SW 9th StreetOntario, OR 97914 · Malheur County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Woodburn's NPI number?

The NPI number for Jennifer Woodburn is 1003339268. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Jennifer Woodburn located?

Jennifer Woodburn practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-5015.

What is Jennifer Woodburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Woodburn enrolled in Medicare?

Yes. Jennifer Woodburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Woodburn accept?

Health plans from Providence Health Plan list Jennifer Woodburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jennifer Woodburn affiliated with any hospitals?

According to CMS data, Jennifer Woodburn is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center, Treasure Valley Hospital, St Luke's Nampa Medical Center and Saint Alphonsus Medical Center - Ontario.

When was this NPI record last updated?

The NPPES record for Jennifer Woodburn was last updated on May 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.