IndividualActive
Mykel Jess
NPI 1275175614 · Gerontology Nurse Practitioner · Caldwell, ID
Provider details
- NPI number
- 1275175614
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9236 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1825 S Kimball Ave
Caldwell, ID 83605-4828
Phone: (208) 455-3535
Fax: (208) 455-5190
Street-level locationGet directions
Mailing address
633 N 4th St
Boise, ID 83702-4510
Additional practice locations (1)
- 633 N 4th StBoise, ID 83702-4510Phone: (208) 342-9800Fax: (208) 342-4223
Registry dates
- Enumerated
- 2019-10-16
- Last updated
- 2022-11-17
- Certified
- 2022-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.