MR. JESSE D VINCENT
NPI 1033554183
Nurse Anesthetist, Certified Registered in Boise, ID

Active since May 02, 2013Accepts Medicare Assignment
2537 W STATE ST STE 200, BOISE, ID 83702(801) 641-6510 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Jesse D Vincent NPPES

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

MR. JESSE D VINCENT (NPI 1033554183) is an individual nurse anesthetist, certified registered in Boise, Idaho, licensed in Idaho (N-45970) and active in the NPI registry since May 2013. He is affiliated with St Luke's Regional Medical Center, maintains a secondary practice location in Columbia, and is a graduate of University Of South Carolina School Of Medicine (2013).

NPPES Registry Identity

NPI1033554183
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JESSE D VINCENT
Location Address2537 W STATE ST STE 200Boise, ID 83702-2200
Mailing Address2537 W State St Ste 200Boise, ID 83702-2200 · (801) 641-6510
Sole ProprietorYes
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2013
Enumeration DateMay 2, 2013
Last NPPES UpdateMarch 17, 2018
✔ NPI 1033554183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in ID · N-45970
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.215484R (SC)
2537 W STATE ST STE 200, Boise, ID 83702

Secondary Practice Location 1

Location 12506 Park StColumbia, SC 29201-1856 · Phone (801) 641-6510

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jesse D Vincent 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 ID5193969475
PECOS Enrollment IDI20130926000848

Medicare Billing Reassignments

2

Medicare enrollment records show Jesse Vincent reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
338 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 233 clinicians in this Medicare group
Ambulatory Surgical
900 N LIBERTY ST STE 300
Boise, ID 83704
  • Reassigned Medicare billing, Idaho enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 16

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

Nurse Anesthetist, Certified Registered
2537 W STATE ST STE 200
BOISE, ID 83702
Nurse Anesthetist, Certified Registered
2537 W STATE ST STE 200
BOISE, ID 83702
Nurse Anesthetist, Certified Registered
2537 W STATE ST STE 200
BOISE, ID 83702
Anesthesiology
2537 W STATE ST STE 200
BOISE, ID 83702
Nurse Anesthetist, Certified Registered
2537 W STATE ST STE 200
BOISE, ID 83702
Nurse Anesthetist, Certified Registered
2537 W STATE ST STE 200
BOISE, ID 83702
Nurse Anesthetist, Certified Registered
2537 W STATE ST STE 200
BOISE, ID 83702
Nurse Anesthetist, Certified Registered
2537 W STATE ST STE 200
BOISE, ID 83702

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 Jesse Vincent's NPI number?

The NPI number for Jesse Vincent is 1033554183. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Where is Jesse Vincent located?

Jesse Vincent practices at 2537 W State St Ste 200, Boise, ID 83702. The listed phone number is (801) 641-6510.

What is Jesse Vincent's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jesse Vincent enrolled in Medicare?

Yes. Jesse Vincent 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.

Which organizations bill Medicare for Jesse Vincent's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Vincent reassigns Medicare benefits to 2 organizations: Anesthesia Associates Of Boise, P.A. (Boise, ID) and Precision Surgery Center PLLC (Boise, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesse Vincent's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jesse Vincent affiliated with any hospitals?

According to CMS data, Jesse Vincent is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Jesse Vincent was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.