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

Q: 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.

Q: What is Jesse Vincent's specialty?

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

Q: 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.

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: August 02, 2026.

On this page

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

Phone(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

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Secondary Practice Location 1

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

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

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

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.

JADYN SHAY MULLIN

Nurse Anesthetist, Certified Registered