Ji Young An, - Medicare Nurse Practitioner in Boise, ID

Ji Young An, is a medicare enrolled "Nurse Practitioner - Family" in Boise, Idaho. Her current practice location is 1226 W River St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 331-1155.

Ji Young An is licensed to practice in Idaho (license number F10200434) 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 1205435757.

Contact Information

Ji Young An,
1226 W River St,
Boise, ID 83702-7049
(208) 331-1155
Not Available



Provider's Profile

Full NameJi Young An
GenderFemale
SpecialityNurse Practitioner - Family
Location1226 W River St, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205435757
  • Provider Enumeration Date: 10/25/2020
  • Last Update Date: 10/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5092121798
  • Enrollment ID: I20210303003226

Medical Identifiers

Medical identifiers for Ji Young An such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205435757NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WD0400XRegistered Nurse - Diabetes Educator 44024 (Idaho)Secondary
363LF0000XNurse Practitioner - Family F10200434 (Idaho)Primary

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. Ji Young An allows following entities to bill medicare on her behalf.
Entity NameUnity Health Center, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912221318
PECOS PAC ID: 8325177330
Enrollment ID: O20100601000774

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Entity NameSterling Provider Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205300407
PECOS PAC ID: 2264773373
Enrollment ID: O20190417001724

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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. Ji Young An 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 AddressPractice Location Address
Ji Young An,
5030 N Chimney Peak Ave,
Meridian, ID 83646-2922

Ph: (208) 713-4770
Ji Young An,
1226 W River St,
Boise, ID 83702-7049

Ph: (208) 331-1155

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Nurse Practitioner Nurses in Boise, ID

Nora M Suarez, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2222    
Dr. Nancy Jane L'heureux, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6259 W Emerald St, Boise, ID 83704
Phone: 208-489-1900    Fax: 208-375-5286
Jennifer Woodburn,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-5015    
Carl Ciplinski, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709
Phone: 208-302-5950    
Kathryn Laura Cnossen, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8000 S Federal Way, Boise, ID 83716
Phone: 208-368-2109    
Mrs. Chelsea Rose Wallace, RN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9976 W Emerald St, Boise, ID 83704
Phone: 208-229-3742    
Natasha Michele King-anderson, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 707 N Armstrong Pl, Boise, ID 83704
Phone: 208-375-5211    

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