JI YOUNG AN – Family Nurse Practitioner, NPI 1205435757
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,798 NURSE PRACTITIONER in ID
Provider Addresses for JI YOUNG AN
1226 W River St
Boise, ID 837027049
Phone: (208) 331-1155
Type: Location
5030 N CHIMNEY PEAK AVE
MERIDIAN, ID 836462922
Phone: (208) 713-4770
Type: Mailing
1226 W RIVER ST
BOISE, ID 837027049
Phone: (208) 331-1155
Type: Location
PO BOX 190930
BOISE, ID 837190930
Phone: (208) 367-5170
Fax: (208) 367-5180
Type: Mailing
3250 W CHERRY LN
MERIDIAN, ID 836421120
Phone: (208) 302-0600
Fax: (208) 302-0755
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-04-17 • Largest payer in this snapshot: PFIZER INC. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $18 |
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: 2021-03-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210303003226 | I | Nurse Practitioner | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 27 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 22 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 12 | $0 |
Insurance plans in this area (ZIP 83702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WY | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | CT | |
| Physician Assistant | WA | |
| - | ID | |
| Physician Assistant | FL | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID |
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