JACOB CRAIG STODDARD APRN-CNP
NPI 1174464929
Nurse Practitioner - Primary Care in Idaho Falls, ID

Q: What is Jacob Stoddard's NPI number?

The NPI number for Jacob Stoddard is 1174464929. It was assigned to this individual provider in the NPPES registry on April 4, 2026.

Q: What is Jacob Stoddard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Stoddard was last updated on April 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 April 04, 2026PECOS Enrolled

2455 BLUE CAMAS WAY, IDAHO FALLS, ID 83402(208) 242-8036 Get Directions Write a Review

NPPES record last updated: April 4, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jacob Craig Stoddard Aprn-cnp NPPES

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

JACOB CRAIG STODDARD APRN-CNP (NPI 1174464929) is an individual primary care provider in Idaho Falls, Idaho, licensed in Idaho (5381502) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174464929

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameJACOB CRAIG STODDARDCredential: APRN-CNP

Location Address2455 BLUE CAMAS WAYIdaho Falls, ID 83402-3849

Mailing Address2455 Blue Camas WayIdaho Falls, ID 83402-3849 · (208) 242-8036

Phone(208) 242-8036

Sole ProprietorYes

Enumeration DateApril 4, 2026

NPPES CertifiedApril 4, 2026

✔ NPI 1174464929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

License✔ Licensed in ID · 5381502

2455 BLUE CAMAS WAY, Idaho Falls, ID 83402

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Craig Stoddard Aprn-cnp 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 83402 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.

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 Stoddard's NPI number?

The NPI number for Jacob Stoddard is 1174464929. It was assigned to this individual provider in the NPPES registry on April 4, 2026.

Where is Jacob Stoddard located?

Jacob Stoddard practices at 2455 Blue Camas Way, Idaho Falls, ID 83402. The listed phone number is (208) 242-8036.

What is Jacob Stoddard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jacob Stoddard enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Stoddard was last updated on April 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.