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JENNA HUMPHREY HOGAN M.D.
NPI 1275899379
Pediatrics - Neonatal-Perinatal Medicine in Boise, ID

Active since April 03, 2012PECOS Enrolled
1055 N CURTIS RD, BOISE, ID 83706(208) 302-4600(208) 302-4655 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 17, 2024, Oct 16, 2023, Oct 3, 2022 and 2 more (5 updates tracked since 2018).

About Jenna Humphrey Hogan M.d. NPPES

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

JENNA HUMPHREY HOGAN M.D. (NPI 1275899379) is an individual neonatal-perinatal medicine provider in Boise, Idaho, licensed in Idaho (M-16996) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1275899379
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameJENNA HUMPHREY HOGANCredential: M.D.
Location Address1055 N CURTIS RDBoise, ID 83706-1309
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180
Phone(208) 302-4600
Fax(208) 302-4655
Sole ProprietorNo
Enumeration DateApril 3, 2012
Last NPPES UpdateJune 17, 20245 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1275899379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in ID · M-16996✔ Licensed in NC · 2018-00747✔ Licensed in OR · MD209888
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1055 N CURTIS RD, Boise, ID 83706
Open in Google Maps ↗

Other Names 1

Former Name (1)Jenna Danielle Humphrey

Secondary Practice Locations 5

Location 12200 Childrens Way, 8161 DOTNashville, TN 37232-0005 · Phone (615) 322-3023
Location 2200 Hawthorne LnCharlotte, NC 28204 · Phone (606) 434-6063
Location 32500 NE Neff RdBend, OR 97701-6015 · Phone (541) 706-6892 · Fax (541) 706-6813
Location 44300 E Flamingo AveNampa, ID 83687-3138 · Phone (208) 302-4600 · Fax (208) 302-4655
Location 5351 SW 9th StOntario, OR 97914-2639 · Phone (541) 881-7184

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Humphrey Hogan M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jenna Hogan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Alphonsus Regional Medical Center Inc
Same address
Psychologist
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 781 clinicians in this Medicare group
NPI 1649357716 (208) 367-4148
Saint Alphonsus Medical Center- Ontario Inc
46 mi
Emergency Medicine
351 SW 9TH ST
Ontario, OR 97914
  • Reassigned Medicare billing, Oregon enrollment
  • 49 clinicians in this Medicare group
NPI 1275852337 (541) 881-7000
St. Charles Health System, Inc.
232 mi
Critical Access
470 NE A STREET
Madras, OR 97741
  • Reassigned Medicare billing, Oregon enrollment
  • 307 clinicians in this Medicare group
NPI 1356389894 (541) 475-3882

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. MAUREEN A NEWMAN M.D.
Family Medicine (Hospice and Palliative Medicine)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 302-5480
JESSICA A EVERT MD
Family Medicine
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-7350
KRISTIE KAES LCSW
Social Worker (Clinical)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2121
DR. MICHEAL GEORGE ADONDAKIS MD
Radiology (Diagnostic Radiology)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2121
JACQUELINE STEAN
Nurse Practitioner
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-3221
DR. JAMES ROBERT POLK MD
Internal Medicine (Rheumatology)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-3104
MATTHEW JUDD D.O.
Emergency Medicine
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 322-1730
IAN MICHAEL WOOD PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1055 N CURTIS RD
BOISE, ID 83706
Ada County (208) 367-2166

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 Jenna Hogan's NPI number?

The NPI number for Jenna Hogan is 1275899379. It was assigned to this individual provider in the NPPES registry on April 3, 2012. The provider is also known as Jenna Danielle Humphrey.

Where is Jenna Hogan located?

Jenna Hogan practices at 1055 N Curtis Rd, Boise, ID 83706. The listed phone number is (208) 302-4600.

What is Jenna Hogan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Jenna Hogan enrolled in Medicare?

Yes. Jenna Hogan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jenna Hogan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Hogan reassigns Medicare benefits to 3 organizations: Saint Alphonsus Regional Medical Center Inc (Boise, ID), Saint Alphonsus Medical Center- Ontario Inc (Ontario, OR) and St. Charles Health System, Inc. (Madras, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Hogan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenna Hogan accept?

Health plans from Cigna Healthcare, Moda Health Plan, Inc. and Providence Health Plan list Jenna Hogan 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 Jenna Hogan was last updated on June 17, 2024. 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.