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

Jessica E Bonnett, DO

Individual provider Family Medicine Physician · NPI 1669786653

Jessica E Bonnett, DO is a Family Practice in Moscow, Idaho. Qualified in 2010, 16 years ago. Practices with Gritman Medical Center Inc, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
16
Licensed in
ID
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

623 S Main St Ste 1
Moscow, ID 83843-2983
Phone: (208) 882-2011
Fax: (208) 883-1853
Show map & directions

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

Additional practice locations (1)

  • 2500 W A St Ste 101, Moscow, ID 83843-6000 — (208) 882-2011

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-1262 (ID)

Record details

NPI number1669786653
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 2, 2010
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing addressPo Box 8007, Moscow, ID 83843-0507

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Gritman Medical Center Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Moscow