Jace Keller White, - Nurse Practitioner in Shelley, ID

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Jace Keller White, is a Nurse Practitioner - Family based in Shelley, Idaho. Jace Keller White is licensed to practice in Idaho (license number 8671480) and current practice location is 251 Brent Way, Shelley, Idaho. can be reached at office (for appointments etc.) via phone at (208) 932-5106.

NPI number for Jace Keller White is 1861371171 and current mailing address is 251 Brent Way, Shelley, Idaho. does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1861371171.

Contact Information

Jace Keller White,
251 Brent Way,
Shelley, ID 83274-1203
(208) 932-5106
Not Available

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Provider's Profile

Full NameJace Keller White
Gender
SpecialityNurse Practitioner - Family
Location251 Brent Way, Shelley, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861371171
  • Provider Enumeration Date: 08/29/2025
  • Last Update Date: 11/04/2025

Medical Identifiers

Medical identifiers for Jace Keller White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861371171NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 8671480 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jace Keller White is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jace Keller White,
251 Brent Way,
Shelley, ID 83274-1203

Ph: (208) 932-5106		Jace Keller White,
251 Brent Way,
Shelley, ID 83274-1203

Ph: (208) 932-5106

Reviews and Comments


Nurse Practitioner Nurses in Shelley, ID


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.