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

Jennavere Renae Ball

Individual provider Physician Assistant · NPI 1194508101

Jennavere Renae Ball is a Physician Assistant in Nampa, Idaho. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2023
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Practice location Address checks out

215 E Hawaii Ave Ste 170
Nampa, ID 83686-6011
Phone: (208) 302-6000
Fax: (208) 302-5455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7308 Edgebrook Dr, Nampa, ID 83687-8352 — (208) 315-3458

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4571487 (ID)

Record details

NPI number1194508101
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing addressPo Box 190930, Boise, ID 83719-0930

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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