JA ANNA D GUILLORY FNP
NPI 1063968089
Nurse Practitioner - Family in Boise, ID

Q: What is Ja Anna Guillory's NPI number?

The NPI number for Ja Anna Guillory is 1063968089. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Q: What is Ja Anna Guillory's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ja Anna Guillory was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 30, 2016PECOS Enrolled

444 W FORT ST FL 2, BOISE, ID 83702(208) 422-1018 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2023, Sep 12, 2016, Aug 30, 2016 (3 updates tracked since 2016).

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About Ja Anna D Guillory Fnp NPPES

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

JA ANNA D GUILLORY FNP (NPI 1063968089) is an individual family provider in Boise, Idaho, licensed in Missouri (2016032668) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1063968089

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJA ANNA D GUILLORYCredential: FNP

Location Address444 W FORT ST FL 2Boise, ID 83702-4535

Mailing Address3183 W Melbourne StSpringfield, MO 65810-2263 · (417) 592-4538

Phone(208) 422-1018

Sole ProprietorNo

Enumeration DateAugust 30, 2016

Last NPPES UpdateSeptember 13, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2023

✔ NPI 1063968089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2016032668

444 W FORT ST FL 2, Boise, ID 83702

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Secondary Practice Location 1

Location 11850 W Republic RdSpringfield, MO 65807-5730 · Phone (417) 891-4800

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ja Anna D Guillory Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

$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.

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.

DR. PAULA K BARRETT PSYD, LCSW

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