Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Wayda

Individual provider Nurse Practitioner · NPI 1801657713

Jacob Wayda is a Nurse Practitioner in Meridian, Idaho. Qualified in 2022, 4 years ago. Practices with Alliance Medical Group LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2024

Practice location Address checks out

1900 W Chinden Blvd
Meridian, ID 83646-6690
Phone: (208) 809-2860
Fax: (208) 809-2861
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 76016 (ID)

Record details

NPI number1801657713
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 17, 2024
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing addressPo Box 191050, Boise, ID 83719-1050

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian