JI YOUNG AN
NPI 1205435757
Nurse Practitioner - Family in Meridian, ID

Active since October 25, 2020PECOS EnrolledAccepts Medicare Assignment
3250 W CHERRY LN, MERIDIAN, ID 83642(208) 302-0600(208) 302-0755 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2026, Oct 25, 2020 (2 updates tracked since 2020).

About Ji Young An NPPES

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

JI YOUNG AN (NPI 1205435757) is an individual family provider in Meridian, Idaho, licensed in Idaho (F10200434) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boise, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205435757
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJI YOUNG AN
Location Address3250 W CHERRY LNMeridian, ID 83642-1120
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180
Fax(208) 302-0755
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 25, 2020
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
NPI 1205435757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ID · F10200434
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 44024 (ID)
3250 W CHERRY LN, Meridian, ID 83642

Secondary Practice Location 1

Location 11226 W River StBoise, ID 83702-7049 · Phone (208) 331-1155

Accepted Insurance

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

Ji Young An 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 ID5092121798
PECOS Enrollment IDI20210303003226
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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 4

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

Physician Assistant
3250 W CHERRY LN
MERIDIAN, ID 83642
Registered Nurse (Ambulatory Care)
3250 W CHERRY LN
MERIDIAN, ID 83642
Family Medicine
3250 W CHERRY LN
MERIDIAN, ID 83642
Clinic/Center (Primary Care)
3250 W CHERRY LN
MERIDIAN, ID 83642

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 Ji Young An's NPI number?

The NPI number for Ji Young An is 1205435757. It was assigned to this individual provider in the NPPES registry on October 25, 2020.

Where is Ji Young An located?

Ji Young An practices at 3250 W Cherry Ln, Meridian, ID 83642. The listed phone number is (208) 302-0600.

What is Ji Young An's specialty?

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

Is Ji Young An enrolled in Medicare?

Yes. Ji Young An 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.

What insurance does Ji Young An accept?

Health plans from Providence Health Plan list Ji Young An 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 Ji Young An was last updated on April 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.