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JENNY RICKELL WILLMORE P.A.-C.
NPI 1003992140
Physician Assistant in Saint Anthony, ID

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
605 MAPLE AVE, SAINT ANTHONY, ID 83445(208) 624-4002(208) 624-4409 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenny Rickell Willmore P.a.-c. NPPES

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

JENNY RICKELL WILLMORE P.A.-C. (NPI 1003992140) is an individual physician assistant in Saint Anthony, Idaho, licensed in Idaho (PA-519) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Madison Memorial Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1003992140
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNY RICKELL WILLMORECredential: P.A.-C.
Location Address605 MAPLE AVESaint Anthony, ID 83445-5529
Mailing Address605 Maple AveSaint Anthony, ID 83445-5529 · (208) 624-4402 · Fax (208) 624-4409
Phone(208) 624-4002
Fax(208) 624-4409
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 31, 2006
Last NPPES UpdateSeptember 25, 2012
✔ NPI 1003992140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-519
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
605 MAPLE AVE, Saint Anthony, ID 83445
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Other Identifiers 1

Medicaid807122700ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.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

Jenny Rickell Willmore P.a.-c. 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 ID6800849571
PECOS Enrollment IDI20050223000366
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 4

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 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.
273 services183 patients
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.
90 services67 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number130025
Location450 East Main StreetRexburg, ID 83440 · Madison County
Emergency services

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Teton Valley Hospital

Critical Access Hospitals · Driggs, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131313
Location120 East Howard AveDriggs, ID 83422 · Teton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83445 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
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers179 claims179 services$41.14 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers179 claims179 services$104.51 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers295 claims532 services$38.25 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers151 claims489 services$23.56 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers63 claims219 services$15.24 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
11 suppliers128 claims128 services$66.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jenny Willmore's NPI number?

The NPI number for Jenny Willmore is 1003992140. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Jenny Willmore located?

Jenny Willmore practices at 605 Maple Ave, Saint Anthony, ID 83445. The listed phone number is (208) 624-4002.

What is Jenny Willmore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jenny Willmore enrolled in Medicare?

Yes. Jenny Willmore 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 Jenny Willmore accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Jenny Willmore 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 Jenny Willmore affiliated with any hospitals?

According to CMS data, Jenny Willmore is affiliated with Madison Memorial Hospital, Mountain View Hospital and Teton Valley Hospital.

When was this NPI record last updated?

The NPPES record for Jenny Willmore was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.