Jessica Michelle Anderson, is a medicare enrolled "Family Medicine" in Nampa, Idaho. Her current practice location is
823 E Amity Ave, Nampa, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 467-8428.
Jessica Michelle Anderson is licensed to practice in Idaho (license number 70287) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164140281.
Provider's Profile
| Full Name | Jessica Michelle Anderson |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 823 E Amity Ave, Nampa, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164140281
- Provider Enumeration Date: 08/15/2022
- Last Update Date: 12/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789126186
- Enrollment ID: I20240612002560
Medical Identifiers
Medical identifiers for Jessica Michelle Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164140281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 70287 (Idaho) | Secondary |
| 363L00000X | Nurse Practitioner | 95015168 (California) | Secondary |
| 207Q00000X | Family Medicine | 70287 (Idaho) | Primary |
| 207Q00000X | Family Medicine | 644524 (California) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Michelle Anderson allows following entities to bill medicare on her behalf.
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649357716
PECOS PAC ID: 3476462359
Enrollment ID: O20040204001036 |
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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. Jessica Michelle Anderson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Michelle Anderson,
823 E Amity Ave,
Nampa, ID 83686-1053
Ph: (208) 467-8428 | Jessica Michelle Anderson,
823 E Amity Ave,
Nampa, ID 83686-1053
Ph: (208) 467-8428 |
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