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

Jared Wenn

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275034225

Jared Wenn is an Emergency Medicine in Boise, Idaho. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2018, 8 years ago. Works from 3 locations. Licensed in Idaho.

Years since qualifying
8
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
ID
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2235
Fax: (208) 381-4556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Wyoming St, Dayton, OH 45409-2711 — (614) 208-8000
  • 9000 N Main St, Englewood, OH 45415-1180 — (937) 734-6784

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 9071990 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence STUDENT

Record details

NPI number1275034225
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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