KEY STONE HEALTH CARE
NPI 1932520640
Nurse Practitioner - Gerontology in Eagle, ID

Active since December 23, 2013
21 N FISHER PARK WAY, EAGLE, ID 83616(208) 514-0670(208) 549-7880 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2020, Apr 18, 2017, Mar 17, 2017 and 1 more (4 updates tracked since 2016).

About Key Stone Health Care NPPES

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

KEY STONE HEALTH CARE (NPI 1932520640) is a healthcare organization registered as a gerontology in Eagle, Idaho and active in the NPI registry since December 2013. The organization lists Leonard R Jensen, President, as its authorized official.

NPPES Registry Identity

NPI1932520640
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameKEY STONE HEALTH CARE
Location Address21 N FISHER PARK WAYEagle, ID 83616-4796
Mailing Address21 N Fisher Park WayEagle, ID 83616-4796 · (208) 514-0670 · Fax (208) 549-7880
Fax(208) 549-7880
Organization SubpartNo
Authorized OfficialLeonard R JensenPresident · (503) 523-6404
Enumeration DateDecember 23, 2013
Last NPPES UpdateDecember 11, 20204 updates tracked since enumeration
NPPES CertifiedDecember 11, 2020
✔ NPI 1932520640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in ID · NP-1166A
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
21 N FISHER PARK WAY, Eagle, ID 83616

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Key Stone Health Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Key Stone Health Care, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner12
Family Practice2
Geriatric Medicine2
Internal Medicine2
Physical Therapist in Private Practice2

Clinicians, nearest first (20)

Nurse Practitioner
NPI 1528730165
21 N FISHER PARK WAY
Eagle, ID 83616
(208) 996-8181
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376188698
21 N FISHER PARK WAY
Eagle, ID 83616
(208) 514-0670
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952852642
1159 E IRON EAGLE DR SUITE 170D
Eagle, ID 83616
(208) 514-0670
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1114613593
225 S LINDER RD APT O107
Eagle, ID 83616
(208) 519-8520
✔ PECOS✔ Accepts Medicare3.6 mi
Internal Medicine
NPI 1881676070
13960 W WAINWRIGHT DR
Boise, ID 83713
(208) 947-5390
✔ PECOS5.3 mi
Nurse Practitioner
NPI 1912300807
1294 E LEIGHFIELD DR
Meridian, ID 83646
(208) 615-0322
✔ PECOS5.5 mi
Nurse Practitioner
NPI 1891176798
63 W WILLOWBROOK DR
Meridian, ID 83646
(208) 888-7877
✔ PECOS6.9 mi
Nurse Practitioner
NPI 1356513519
3330 E LOUISE DR STE 400
Meridian, ID 83642
(208) 381-2721
✔ PECOS✔ Accepts Medicare7.9 mi
Geriatric Medicine
NPI 1891057246
5966 W CURTISIAN ROAD
Boise, ID 83704
(208) 302-5400
✔ PECOS✔ Accepts Medicare8.7 mi
Nurse Practitioner
NPI 1548784606
999 N CURTIS RD STE 415
Boise, ID 83706
(208) 302-2600
✔ PECOS✔ Accepts Medicare8.8 mi
Nurse Practitioner
NPI 1407214497
2347 E GALA ST
Meridian, ID 83642
(208) 323-3676
✔ PECOS✔ Accepts Medicare9.0 mi
Nurse Practitioner
NPI 1851624282
1673 W SHORELINE DR STE 100
Boise, ID 83702
(208) 593-3054
✔ PECOS✔ Accepts Medicare9.7 mi
Family Practice
NPI 1801107974
500 W FORT ST
Boise, ID 83702
(208) 422-1000
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1346535952
500 W FORT ST
Boise, ID 83702
(208) 422-1000
✔ PECOS✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1639334279
910 E WASHINGTON ST
Boise, ID 83712
(208) 570-3004
✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1225858475
1907 S BROADWAY AVE STE 101
Boise, ID 83706
(208) 345-1222
✔ PECOS✔ Accepts Medicare12 mi
Family Practice
NPI 1588350151
9850 W ST LUKES DR # 329
Nampa, ID 83687
(208) 514-2509
✔ PECOS14 mi
Physical Therapist in Private Practice
NPI 1336433184
2635 CALDWELL BLVD SUITE B
Nampa, ID 83651
(208) 442-0577
15 mi
Geriatric Medicine
NPI 1093165912
PO BOX 6489 180 W. FIRST STREET SUITE 302
Ketchum, ID 83340
(208) 726-5996
✔ PECOS✔ Accepts Medicare94 mi
Nurse Practitioner
NPI 1851604904
6975 SW SANDBURG ST SUITE #190
Portland, OR 97223
(503) 639-0600
✔ PECOS✔ Accepts Medicare337 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Key Stone Health Care's NPI number?

The NPI number for Key Stone Health Care is 1932520640. It was assigned to this organization in the NPPES registry on December 23, 2013.

Where is Key Stone Health Care located?

Key Stone Health Care is located at 21 N Fisher Park Way, Eagle, ID 83616. The listed phone number is (208) 514-0670.

What is Key Stone Health Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Key Stone Health Care enrolled in Medicare?

Yes. Key Stone Health Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Key Stone Health Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 5 Medicare specialties reassign their Medicare billing to Key Stone Health Care. A 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 the clinician's services. The largest specialties are Nurse Practitioner (12), Family Practice (2) and Geriatric Medicine (2). Of these, 2 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Key Stone Health Care accept?

Health plans from Moda Health Plan, Inc. and Molina Healthcare list Key Stone Health Care 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 Key Stone Health Care was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.