MRS. JENNIFER L SUIDA (CRNP) – Acute Care Nurse Practitioner, NPI 1316046972

MRS. JENNIFER L SUIDA (CRNP) is a healthcare provider. based in Boise, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. NP614A (ID). The NPI Number for MRS. JENNIFER L SUIDA (CRNP) is 1316046972

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER L SUIDA (CRNP)
NPI
1316046972
Phone
(208) 381-2222
Address
190 E BANNOCK ST
Enumeration Date
21 September 2006
Last Update Date
24 April 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083819384
Graduation Year
2001 (25 years ago)
PAC ID
3375436827
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20040206000675
Address ID
ID837126241BO190XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,798 NURSE PRACTITIONER in ID

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Provider Addresses for MRS. JENNIFER L SUIDA (CRNP)

  • St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126241

    Phone: (208) 381-2222

    Type: Mailing

  • Saint Alphonsus Regional Medical Center, 1055, North Curtis Road, Boise Junction, Boise, Ada County, Idaho, 83706, United States

    BOISE, ID 837061309

    Phone: (208) 367-3131

    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: 2004-02-06

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
I20040206000675INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes14994$0
99214Established patient office or other outpatient visit, 30-39 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 83712)

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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: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
Physician AssistantID
General SurgeryID

Reviews

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Frequently asked questions

What is the standard ID for MRS. JENNIFER L SUIDA (CRNP) in the U.S.?
In the U.S., MRS. JENNIFER L SUIDA (CRNP) is identified by NPI 1316046972.
Should I treat MRS. JENNIFER L SUIDA (CRNP) as an active provider?
Patients and plans typically see MRS. JENNIFER L SUIDA (CRNP) as active in the national extract.
What services align with MRS. JENNIFER L SUIDA (CRNP)'s listing?
MRS. JENNIFER L SUIDA (CRNP)'s public classification highlights Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. JENNIFER L SUIDA (CRNP)?
MRS. JENNIFER L SUIDA (CRNP) shows a connection to Boise, Idaho in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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