1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Nurse Practitioner
  6. NPI Profile

JILLIAN SOPHIA WITT DNP, AGACNP-BC
NPI 1497528012
Nurse Practitioner - Acute Care in Boise, ID

Active since November 06, 2023PECOS Enrolled
190 E BANNOCK ST, BOISE, ID 83712(208) 381-3971(208) 381-2566 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jillian Sophia Witt Dnp, Agacnp-bc NPPES

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

JILLIAN SOPHIA WITT DNP, AGACNP-BC (NPI 1497528012) is an individual acute care provider in Boise, Idaho, licensed in Idaho (75738) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497528012
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJILLIAN SOPHIA WITTCredential: DNP, AGACNP-BC
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 381-3971
Fax(208) 381-2566
Sole ProprietorNo
Enumeration DateNovember 6, 2023
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1497528012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in ID · 75738
190 E BANNOCK ST, Boise, ID 83712
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jillian Sophia Witt Dnp, Agacnp-bc 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 Reassignment

Medicare enrollment records show Jillian Witt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Lukes Clinic-Treasure Valley LLC
Same address
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222

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 83712 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 20

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

NORA M SUAREZ NP
Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
REBECCA WENSEL P.T.
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2138
JENNIFER WOODBURN
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
MURRY ODONNELL
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-7275
KAITLIN EDMINSTEN DNP, AGACNP-BC
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
ALLISON ELISABETH MAY
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
DR. MICHAEL FREDERIC KRUG M.D.
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
HEATHER CAREW M.D.
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2645

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 Jillian Witt's NPI number?

The NPI number for Jillian Witt is 1497528012. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Jillian Witt located?

Jillian Witt practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-3971.

What is Jillian Witt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jillian Witt enrolled in Medicare?

Yes. Jillian Witt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jillian Witt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jillian Witt reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). The 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 Jillian Witt'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 Jillian Witt was last updated on January 8, 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.