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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: August 02, 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
Phone(208) 514-0670
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
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X
21 N FISHER PARK WAY, Eagle, ID 83616
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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 ›

Other Providers at the Same Location NPPES 5

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

KATHRYN L STEDNITZ DPT
Physical Therapist
21 N FISHER PARK WAY
EAGLE, ID 83616
Ada County (208) 514-0670
MASON CARTER NP-C
Nurse Practitioner (Family)
21 N FISHER PARK WAY
EAGLE, ID 83616
Ada County (208) 514-0670
DR. KELLI RICH NP
Nurse Practitioner (Family)
21 N FISHER PARK WAY
EAGLE, ID 83616
Ada County (801) 369-5155
KEYSTONE HOSPICE, LLC
Hospice Care, Community Based
21 N FISHER PARK WAY
EAGLE, ID 83616
Ada County (208) 996-8181
CODY JOHANNA BONINE FNP
Nurse Practitioner (Family)
21 N FISHER PARK WAY
EAGLE, ID 83616
Ada County (208) 996-8181

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.

What insurance does Key Stone Health Care accept?

Health plans from Moda Health Plan, Inc. 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.