IndividualActive
Jessica Kelly Waters
NPI 1184594202 · Case Management Agency · Boise, ID
Jessica Kelly Waters is a Case Management Agency provider in Boise, ID (NPI 1184594202).
Provider details
- NPI number
- 1184594202
- Entity type
- Individual
- Primary specialty
- Case Management AgencyAgencies
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Agencies
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
545 N Benjamin Ln Ste 185
Boise, ID 83704-9625
Phone: (208) 322-1026
Fax: (208) 322-1029
Street-level locationGet directions
Mailing address
545 N Benjamin Ln Ste 185
Boise, ID 83704-9625
Registry dates
- Enumerated
- 2025-11-05
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Frequently asked questions
- What is Jessica Kelly Waters's NPI number?
- Jessica Kelly Waters's National Provider Identifier (NPI) is 1184594202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Kelly Waters's specialty?
- Jessica Kelly Waters is listed in the NPPES registry with a primary specialty of Case Management Agency (Agencies).
- Where is Jessica Kelly Waters located?
- Jessica Kelly Waters's practice location on file with NPPES is 545 N Benjamin Ln Ste 185, Boise, ID 83704-9625.
- What is Jessica Kelly Waters's phone number?
- The practice phone number listed in the NPPES registry for Jessica Kelly Waters is (208) 322-1026.
- Is Jessica Kelly Waters's NPI active?
- Yes — Jessica Kelly Waters's NPI (1184594202) is active in the NPPES registry as of the last update on 2025-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.