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

Jordyn L Watts, ACNPC-AG

Individual provider Registered Nurse · NPI 1548899156

Jordyn L Watts, ACNPC-AG is a Nurse Practitioner in Lewiston, Idaho. Qualified in 2020, 6 years ago. Practices with Providence Health and Services Washington, a 776-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
6
Licensed in
ID, WA
In the registry since
2020
Specialties on file
3

Practice location Address checks out

415 6th St
Lewiston, ID 83501-2431
Phone: (208) 743-2511
Show map & directions

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

Additional practice locations (1)

  • 101 W 8th Ave, Spokane, WA 99204-2307 — (509) 474-3260

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP61063402 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN60283274 (WA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 68454 (ID)

Record details

NPI number1548899156
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

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 Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lewiston