JEREMY GARDNER APRN-CNP
NPI 1902539976
Nurse Practitioner in Boise, ID
NPI Status: Active since July 06, 2022
Contact Information
425 W BANNOCK ST
BOISE, ID
ZIP 83702
Phone: (208) 343-6458
- Individual
- Male
- Nurse Practitioner
- Accepts Insurance
- Opted-Out Medicare
About JEREMY GARDNER
This page provides the complete NPI Profile along with additional information for Jeremy Gardner, a provider established in Boise, Idaho with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1902539976 assigned on July 2022. The practitioner's primary taxonomy code is 363L00000X with license number 54041 (ID). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1902539976
- Provider Name
- JEREMY GARDNER APRN-CNP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 425 W BANNOCK ST BOISE, ID 83702
- Location Phone
- (208) 343-6458
- Mailing Address
- 425 W BANNOCK ST BOISE, ID 83702
- Mailing Phone
- (208) 343-6458
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-06-2022
- Last Update Date
- 02-12-2024
- Code Navigator
A nurse practitioner (NP) like Jeremy Gardner is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jeremy Gardner opted out of Medicare effective on 02-27-2025 until 02-27-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 520 S Eagle Rd
Meridian, ID 83642
(208) 706-5000 - 190 E Bannock St
Boise, ID 83712
(208) 381-2222 - 2235 E Gala St
Meridian, ID 83642
(208) 489-1431 - 9850 W St Lukes Dr
Nampa, ID 83687
(208) 505-2000 - 1200 Garrity Blvd
Nampa, ID 83687
(208) 695-2107
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 54041
- License State
- ID
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 54041 (ID) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-27-2025
Opt-Out End Date: 02-27-2027
Eligible to Order and Refer? No
Reviews for JEREMY GARDNER APRN-CNP
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1902539976, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BOISE, ID 83702
BOISE, ID 83702
BOISE, ID 83702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902539976, enumerated as an "individual" on July 06, 2022.
The provider is located at 425 W BANNOCK ST BOISE, ID 83702 and the phone number is (208) 343-6458.
Nurse Practitioner with taxonomy code 363L00000X.
The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.
