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JILL MOUGHAMIAN NP
NPI 1760845259
Nurse Practitioner - Pediatrics in Boise, ID

Active since April 01, 2016PECOS Enrolled
4700 N CLOVERDALE RD STE 103, BOISE, ID 83713(208) 392-8383 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jill Moughamian Np NPPES

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

JILL MOUGHAMIAN NP (NPI 1760845259) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (NP-1708A) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760845259
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJILL MOUGHAMIANCredential: NP
Location Address4700 N CLOVERDALE RD STE 103Boise, ID 83713-1067
Mailing Address2965 E Tarpon Dr Ste 150Meridian, ID 83642-9007 · (208) 287-9420
Phone(208) 392-8383
Sole ProprietorNo
Enumeration DateApril 1, 2016
✔ NPI 1760845259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in ID · NP-1708A
4700 N CLOVERDALE RD STE 103, Boise, ID 83713
Open in Google Maps ↗

Other Identifiers 1

OtherNP-1708AID · State License

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jill Moughamian 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 Reassignment

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

St Lukes Clinic-Treasure Valley LLC
7.6 mi
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 83713 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 2

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

DR. BLAKE LOUIS HOWARD D.C.
Chiropractor (Sports Physician)
4700 N CLOVERDALE RD STE 103
BOISE, ID 83713
Ada County (208) 658-8326
LIVE WELL HEALTH AND NUTRITION PLLC
Clinic/Center
4700 N CLOVERDALE RD STE 103
BOISE, ID 83713
Ada County (208) 392-8383

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 Jill Moughamian's NPI number?

The NPI number for Jill Moughamian is 1760845259. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Jill Moughamian located?

Jill Moughamian practices at 4700 N Cloverdale Rd Ste 103, Boise, ID 83713. The listed phone number is (208) 392-8383.

What is Jill Moughamian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jill Moughamian enrolled in Medicare?

Yes. Jill Moughamian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jill Moughamian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Moughamian 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 Jill Moughamian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jill Moughamian accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Jill Moughamian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jill Moughamian was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.