JEREMY GARDNER APRN-CNP
NPI 1902539976
Nurse Practitioner in Boise, ID

Q: What is Jeremy Gardner's NPI number?

The NPI number for Jeremy Gardner is 1902539976. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Q: What is Jeremy Gardner's specialty?

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

Q: Is Jeremy Gardner enrolled in Medicare?

No. Jeremy Gardner has opted out of Medicare through February 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Gardner was last updated on February 12, 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 July 06, 2022Opted out of Medicare · through Feb 27, 2027

425 W BANNOCK ST, BOISE, ID 83702(208) 343-6458 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Jeremy Gardner Aprn-cnp NPPES

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

JEREMY GARDNER APRN-CNP (NPI 1902539976) is an individual nurse practitioner in Boise, Idaho, licensed in Idaho (54041) and active in the NPI registry since July 2022. He has opted out of Medicare through February 27, 2027 and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1902539976

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJEREMY GARDNERCredential: APRN-CNP

Location Address425 W BANNOCK STBoise, ID 83702-6035

Mailing Address425 W Bannock StBoise, ID 83702-6035 · (208) 343-6458

Phone(208) 343-6458

Sole ProprietorNo

Enumeration DateJuly 6, 2022

Last NPPES UpdateFebruary 12, 2024

NPPES CertifiedFebruary 12, 2024

✔ NPI 1902539976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ID · 54041

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 54041 (ID)

425 W BANNOCK ST, Boise, ID 83702

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Secondary Practice Locations 5

Location 11200 Garrity BlvdNampa, ID 83687-3402 · Phone (208) 695-2107

Location 2520 S Eagle RdMeridian, ID 83642-6351 · Phone (208) 706-5000

Location 32235 E Gala StMeridian, ID 83642-8026 · Phone (208) 489-1431

Location 4190 E Bannock StBoise, ID 83712-6241 · Phone (208) 381-2222

Location 59850 W St Lukes DrNampa, ID 83687-7912 · Phone (208) 505-2000

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

ⓘ

Opted out of Medicare

Jeremy Gardner Aprn-cnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 27, 2025 through February 27, 2027.

Opt-Out Effective DateFebruary 27, 2025

Opt-Out In Effect ThroughFebruary 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Areas of Expertise CMS Part B claims 6

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.

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.

119 services102 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

39 services39 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.

33 services28 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

30 services29 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.

16 services11 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

15 services15 patients

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.

LAURA LELA HARTWIG FNP-C

Nurse Practitioner (Family)