JACOB WAYDA
NPI 1801657713
Nurse Practitioner in Meridian, ID

Q: What is Jacob Wayda's NPI number?

The NPI number for Jacob Wayda is 1801657713. It was assigned to this individual provider in the NPPES registry on January 17, 2024.

Q: What is Jacob Wayda's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Wayda was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 January 17, 2024PECOS EnrolledAccepts Medicare Assignment

1900 W CHINDEN BLVD, MERIDIAN, ID 83646(208) 809-2860(208) 809-2861 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jacob Wayda NPPES

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

JACOB WAYDA (NPI 1801657713) is an individual nurse practitioner in Meridian, Idaho, licensed in Idaho (76016) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801657713

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJACOB WAYDA

Location Address1900 W CHINDEN BLVDMeridian, ID 83646-6690

Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6500 · Fax (208) 955-6501

Phone(208) 809-2860

Fax(208) 809-2861

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 17, 2024

Last NPPES UpdateMarch 20, 2025

NPPES CertifiedMarch 20, 2025

✔ NPI 1801657713 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 · 76016

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.

1900 W CHINDEN BLVD, Meridian, ID 83646

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 and accepts Medicare assignment

Jacob Wayda 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 ID3274056338

PECOS Enrollment IDI20250328002596

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 83646 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 7

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

SEAN S LAMB PA-C

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