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

Matt Jordan, NP-C

Individual provider Family Nurse Practitioner · NPI 1447617139

Matt Jordan, NP-C is a Nurse Practitioner in Boise, Idaho. Qualified in 2015, 11 years ago. Practices with Vibra Physicians LLC, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
11
Licensed in
ID
In the registry since
2016
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 385-3230
Fax: (208) 385-4088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13900 South Pleasant Valley Road, Kuna, ID 83634 — (208) 333-0037

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP-1677A (ID)

Record details

NPI number1447617139
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2016
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Vibra Physicians Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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