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JOSE MANUEL CELEDON NP
NPI 1326520719
Nurse Practitioner - Gerontology in Nampa, ID

Active since August 31, 2018PECOS Enrolled
508 E FLORIDA AVE, NAMPA, ID 83686(208) 463-0118 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2022, Aug 31, 2018 (2 updates tracked since 2018).

About Jose Manuel Celedon Np NPPES

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

JOSE MANUEL CELEDON NP (NPI 1326520719) is an individual gerontology provider in Nampa, Idaho, licensed in Idaho (59029) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1326520719
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameJOSE MANUEL CELEDONCredential: NP
Location Address508 E FLORIDA AVENampa, ID 83686-5823
Mailing Address2226 E Shady Glade DrMeridian, ID 83642-8245 · (208) 989-6483
Phone(208) 463-0118
Sole ProprietorYes
Enumeration DateAugust 31, 2018
Last NPPES UpdateJuly 18, 20222 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
✔ NPI 1326520719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in ID · 59029
508 E FLORIDA AVE, Nampa, ID 83686
Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 W Fort St, # 111Boise, ID 83702 · Phone (208) 422-1000 · Fax (208) 422-1319

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Manuel Celedon 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jose Celedon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Directors Of Idaho PLLC
2.3 mi
Internal Medicine
404 N HORTON ST
Nampa, ID 83651
  • Reassigned Medicare billing, Idaho enrollment
  • 32 clinicians in this Medicare group
NPI 1710392410 (208) 466-9292
Vibra Physicians LLC
635 mi
Hospitalist
4401 UNION ST
Johnstown, CO 80534
  • Reassigned Medicare billing, Idaho enrollment
  • 40 clinicians in this Medicare group
NPI 1659705424 (970) 278-9340

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83686 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 6

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

MS. LINDA JACOBS CADC
Counselor (Addiction (Substance Use Disorder))
508 E FLORIDA AVE
NAMPA, ID 83686
Canyon County (208) 463-0118
MS. MARILYN NMI HILLER LCSW-32496
Counselor (Addiction (Substance Use Disorder))
508 E FLORIDA AVE
NAMPA, ID 83686
Canyon County (208) 463-0118
WALTER ALBERT BOGUCKI CADC
Counselor (Addiction (Substance Use Disorder))
508 E FLORIDA AVE
NAMPA, ID 83686
Canyon County (208) 463-0118
JESSICA NOVELLO LMSW
Counselor
508 E FLORIDA AVE
NAMPA, ID 83686
Canyon County (208) 463-0118
PORT OF HOPE CENTERS, INC
Counselor (Addiction (Substance Use Disorder))
508 E FLORIDA AVE
NAMPA, ID 83686
Canyon County (208) 463-0118
MR. DAVID ROYAL STRONG CADC
Counselor (Addiction (Substance Use Disorder))
508 E FLORIDA AVE
NAMPA, ID 83686
Canyon County (208) 463-0118

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 Jose Celedon's NPI number?

The NPI number for Jose Celedon is 1326520719. It was assigned to this individual provider in the NPPES registry on August 31, 2018.

Where is Jose Celedon located?

Jose Celedon practices at 508 E Florida Ave, Nampa, ID 83686. The listed phone number is (208) 463-0118.

What is Jose Celedon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jose Celedon enrolled in Medicare?

Yes. Jose Celedon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jose Celedon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Celedon reassigns Medicare benefits to 2 organizations: Medical Directors Of Idaho PLLC (Nampa, ID) and Vibra Physicians LLC (Johnstown, CO). 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 Jose Celedon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Celedon was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.