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

Jennifer Therese Anderson

Individual provider Nurse Practitioner · NPI 1790400992

Jennifer Therese Anderson is a Nurse Practitioner in Lewiston, Idaho. Qualified in 2020, 6 years ago. Practices with Community Health Association of Spokane, a 223-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
6
Licensed in
ID, WA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1203 Idaho St
Lewiston, ID 83501-1940
Phone: (509) 444-8200
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 72977 (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence RN00124469 (WA)

Record details

NPI number1790400992
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 10, 2022
Certification dateSeptember 13, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Health Association Of Spokane — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lewiston