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

Q: 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.

Q: What is Jillian Witt's specialty?

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

Q: 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.

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: August 09, 2026.

On this page

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

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

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)