JAN REHDER KING (FNP-C) – Family Nurse Practitioner, NPI 1083038335

JAN REHDER KING (FNP-C) is a healthcare provider. based in Meridian, Idaho. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. NP-1404A (ID). The NPI Number for JAN REHDER KING (FNP-C) is 1083038335

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JAN REHDER KING (FNP-C)
NPI
1083038335
Phone
(208) 938-3663
Address
4740 N PENNGROVE WAY STE 100
Enumeration Date
6 February 2014
Last Update Date
18 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2089383663
Graduation Year
2013 (13 years ago)
PAC ID
4880917087
Group Practice PAC ID
5193877850
Professional Enrollment ID
I20141219000077
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for JAN REHDER KING (FNP-C)

  • 4740 N PENNGROVE WAY STE 100

    MERIDIAN, ID 836467446

    Phone: (208) 938-3663

    Fax: (208) 938-3664

    Type: Mailing

  • 13150 W PERSIMMON LANE

    BOISE, ID 83713

    Phone: (208) 938-3663

    Type: Location

  • 5333 N BROOKMEADOW WAY

    BOISE, ID 837131480

    Phone: (208) 866-5333

    Fax: (769) 206-4683

    Type: Mailing

  • 2867 E COPPER POINT DR

    MERIDIAN, ID 836421716

    Phone: (208) 401-9100

    Fax: (208) 401-9150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141219000077INurse PractitionerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes797259$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes344242$0
99316Nursing facility discharge management, more than 30 minutes219205$0
View full utilization report →

Insurance plans in this area (ZIP 83646)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193877850View full group profile
NameSpecialtyState
Family Practice, Osteopathic Manipulative MedicineID
Nurse PractitionerID
Nurse PractitionerID
Family PracticeID
Nurse PractitionerID
-ID
Nurse PractitionerID
Osteopathic Manipulative Medicine, Family PracticeID
Family PracticeKY
Nurse PractitionerID

Reviews

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Frequently asked questions

What is the 10-digit NPI for JAN REHDER KING (FNP-C)?
JAN REHDER KING (FNP-C) — NPI 1083038335 — is the standard way to identify this listing.
Does the file indicate JAN REHDER KING (FNP-C) is practicing under active NPI?
Directory data currently reports JAN REHDER KING (FNP-C) as active.
What is JAN REHDER KING (FNP-C)'s specialty?
The listing groups JAN REHDER KING (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JAN REHDER KING (FNP-C) list a practice location?
Patients near Meridian, Idaho may find JAN REHDER KING (FNP-C) in results; validate coverage separately.
Is the information about JAN REHDER KING (FNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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