NPI age
10 years
Enumerated 2015-12-10
● Active
Type 1 · Individual
DR. Jesse Tellez Hernandez, NP-C
Tellez Hernandez is 1 of 1 nurse practitioner providers in Fort Hall and 1 of 658 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-03-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 658 active nurse practitioner providers in Idaho.
NPI age
10 years
↑ 2 yr above median (8 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-12Enumerated in NPPES
2015
2026
Where they practice
Practice location
Building 70 Navajo Drive
Fort Hall, ID 83203
Mailing address
Po Box 4414
Pocatello, ID 832054414
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | NP-1663A | PROFESSIONAL LICENSE |
| 01 (UT) | 11948571-4405 | PROFESSIONAL LICENSE |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.