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MRS. JEANNIE ANNE ARCHER AGNP
NPI 1396265369
Nurse Practitioner in Caldwell, ID

Active since June 21, 2017PECOS Enrolled
1421 CLEVELAND BLVD, CALDWELL, ID 83605(208) 409-8966 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Jul 8, 2017, Jun 21, 2017 (3 updates tracked since 2017).

About Mrs. Jeannie Anne Archer Agnp NPPES

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

MRS. JEANNIE ANNE ARCHER AGNP (NPI 1396265369) is an individual nurse practitioner in Caldwell, Idaho, licensed in Idaho (55871) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396265369
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JEANNIE ANNE ARCHERCredential: AGNP
Location Address1421 CLEVELAND BLVDCaldwell, ID 83605-3861
Mailing Address1421 Cleveland BlvdCaldwell, ID 83605-3861 · (208) 409-8966
Phone(208) 409-8966
Sole ProprietorNo
Enumeration DateJune 21, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1396265369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · 55871
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1421 CLEVELAND BLVD, Caldwell, ID 83605
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jeannie Anne Archer Agnp 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 83605 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 Jeannie Archer's NPI number?

The NPI number for Jeannie Archer is 1396265369. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Jeannie Archer located?

Jeannie Archer practices at 1421 Cleveland Blvd, Caldwell, ID 83605. The listed phone number is (208) 409-8966.

What is Jeannie Archer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jeannie Archer enrolled in Medicare?

Yes. Jeannie Archer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeannie Archer was last updated on July 21, 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.