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

Jennifer Kathryn Lewis, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356784201

Jennifer Kathryn Lewis, MD is a Family Practice in Boise, Idaho. Graduated from Jefferson Medical College of Thomas Jefferson University in 2013, 13 years ago. Practices with St Lukes Clinic - McCall LLC, a 44-clinician group and accepts Medicare assignment. Licensed in District of Columbia and Idaho.

Years since qualifying
13
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
DC, ID
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-13350 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (DC)

Record details

NPI number1356784201
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2013
Last updated in NPPESJuly 12, 2016

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2013 (13 years in practice)
Group practice St Lukes Clinic - McCall Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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