KEY STONE HEALTH CARE
NPI 1932520640
Nurse Practitioner - Gerontology in Eagle, ID
NPI Status: Active since December 23, 2013
Contact Information
21 N FISHER PARK WAY
EAGLE, ID
ZIP 83616
Phone: (208) 514-0670
Fax: (208) 549-7880
- Organization
- Nurse Practitioner
- Gerontology
- Accepts Insurance
- CLIA Number: 13D2111869
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-17-2026
About KEY STONE HEALTH CARE
This page provides the complete NPI Profile along with additional information for Key Stone Health Care, a provider established in Eagle, Idaho operating as a Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1932520640 assigned on December 2013. The practitioner's primary taxonomy code is 363LG0600X with license number NP-1166A (ID). The provider is registered as an organization and their NPI record was last updated 6 years ago. Key Stone Health Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Leonard R Jensen Fnp (President)
- NPI
- 1932520640
- Provider Name
- KEY STONE HEALTH CARE
- Entity Type
- Organization
- Location Address
- 21 N FISHER PARK WAY EAGLE, ID 83616
- Location Phone
- (208) 514-0670
- Location Fax
- (208) 549-7880
- Mailing Address
- 21 N FISHER PARK WAY EAGLE, ID 83616
- Mailing Phone
- (208) 514-0670
- Mailing Fax
- (208) 549-7880
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-23-2013
- Last Update Date
- 12-11-2020
- Code Navigator
A nurse practitioner (NP) like Key Stone Health Care 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.
Location Map
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 Gerontology
- Taxonomy Code
- 363LG0600X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- NP-1166A
- License State
- ID
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 | 207QG0300X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207QH0002X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D2111869
- Facility Type
- Physician Office
- Certificate Effective Date
- April 18, 2024
- Certificate Expiration Date
- April 17, 2026
- Laboratory Director
- LEONARD R. JENSEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Key Stone Health Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for KEY STONE HEALTH CARE
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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 1932520640, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932520640, enumerated as an "organization" on December 23, 2013.
The provider is located at 21 N FISHER PARK WAY EAGLE, ID 83616 and the phone number is (208) 514-0670.
Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.
The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.
