JESSICA NOEL TINER
NPI 1508623497
Nurse Practitioner - Family in Boise, ID

Q: What is Jessica Tiner's NPI number?

The NPI number for Jessica Tiner is 1508623497. It was assigned to this individual provider in the NPPES registry on March 6, 2024.

Q: What is Jessica Tiner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Tiner was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 March 06, 2024PECOS EnrolledAccepts Medicare Assignment

6140 W CURTISIAN AVE STE 102, BOISE, ID 83704(208) 302-0000(208) 302-0220 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2026, Dec 12, 2025, Jun 21, 2024 and 1 more (4 updates tracked since 2024).

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About Jessica Noel Tiner NPPES

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

JESSICA NOEL TINER (NPI 1508623497) is an individual family provider in Boise, Idaho, licensed in Tennessee (34438) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1508623497

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA NOEL TINER

Location Address6140 W CURTISIAN AVE STE 102Boise, ID 83704-0109

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 302-9342 · Fax (208) 367-5180

Phone(208) 302-0000

Fax(208) 302-0220

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 6, 2024

Last NPPES UpdateApril 20, 20264 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1508623497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 34438

Also ListedNurse PractitionerTaxonomy 363L00000X · License 2081909 (ID)

6140 W CURTISIAN AVE STE 102, Boise, ID 83704

Open in Google Maps ↗

Secondary Practice Locations 4

Location 11490 Park Ave NW Ste 3CNorton, VA 24273-1631 · Phone (276) 679-8890

Location 22033 Meadowview Ln Ste 110Kingsport, TN 37660-7569 · Phone (423) 230-5000

Location 3127 Health Care Dr Ste 3Pennington Gap, VA 24277-2853 · Phone (276) 299-5000

Location 42050 Meadowview PkwyKingsport, TN 37660-7475 · Phone (423) 230-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Jessica Noel Tiner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183066343

PECOS Enrollment IDI20260505002761

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 Jessica Tiner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Alphonsus Regional Medical Center Inc

0.1 mi

Psychologist

1055 N CURTIS RD
Boise, ID 83706

Reassigned Medicare billing, Idaho enrollment
781 clinicians in this Medicare group

NPI 1649357716 (208) 367-4148

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

44 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services29 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

22 services22 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

13 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440176

Location2000 Brookside DrKingsport, TN 37660 · Sullivan County

Emergency services Birthing friendly

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490114

Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Tim Carico May 19, 2025

5/5

Straight, and to the point. Delightful and personable. A great asset to any office. Felt comfortable and safe.

Provider 5/5 Office Staff 5/5

Visited this provider? Share your experience.

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.

BRIDGET OCONNELL

Pharmacist (Pharmacotherapy)