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MR. JACOB C REEDY NP
NPI 1114530565
Nurse Practitioner - Family in Hayden, ID

Active since August 26, 2020PECOS Enrolled
86.1/100
CMS Quality Rating
1986 W. HAYDEN AVE, HAYDEN, ID 83835(208) 762-7760(208) 762-7740 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 21, 2022, Aug 26, 2022, Aug 26, 2020 (3 updates tracked since 2020).

About Mr. Jacob C Reedy Np NPPES

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

MR. JACOB C REEDY NP (NPI 1114530565) is an individual family provider in Hayden, Idaho, licensed in Texas (1010320) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114530565
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JACOB C REEDYCredential: NP
Location Address1986 W. HAYDEN AVEHayden, ID 83835-7412
Mailing Address1986 W. Hayden AveHayden, ID 83835-7412 · (208) 762-7760 · Fax (208) 762-7740
Phone(208) 762-7760
Fax(208) 762-7740
Sole ProprietorNo
Enumeration DateAugust 26, 2020
Last NPPES UpdateDecember 20, 20233 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
✔ NPI 1114530565 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 TX · 1010320
1986 W. HAYDEN AVE, Hayden, ID 83835
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jacob C Reedy Np 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 83835 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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.94
Promoting Interoperability98
Improvement Activities40
Cost65.72

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 Jacob Reedy's NPI number?

The NPI number for Jacob Reedy is 1114530565. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Jacob Reedy located?

Jacob Reedy practices at 1986 W. Hayden Ave, Hayden, ID 83835. The listed phone number is (208) 762-7760.

What is Jacob Reedy's specialty?

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

Is Jacob Reedy enrolled in Medicare?

Yes. Jacob Reedy is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Reedy accept?

Health plans from Oscar Insurance Company list Jacob Reedy 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.

When was this NPI record last updated?

The NPPES record for Jacob Reedy was last updated on December 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.