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

Mrs. Jennifer Renee Macdermott, MS, RN, ACNS-BC

Individual provider Adult Health Nurse Practitioner · NPI 1912219288

Mrs. Jennifer Renee Macdermott, MS, RN, ACNS-BC is a Nurse Practitioner in Boise, Idaho. Qualified in 2009, 17 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho and Ohio.

Years since qualifying
17
Licensed in
ID, OH
In the registry since
2010
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-5015
Fax: (208) 381-1873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 60641 (ID)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN.CNP.12917 (OH)

Record details

NPI number1912219288
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RN , ACNS-BC
Sole proprietorNo
NPI enumeratedJuly 2, 2010
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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