P Praxis·MD
● Active Type 1 · Individual

Jenna Humphrey Hogan, M.D.

Pediatrics·Boise, ID· NPI 1275899379 · Enumerated 2012 · 14 years on NPI
Hogan is 1 of 20 pediatrics providers in Boise and 1 of 34 in Idaho.
NPI age
14 years
Enumerated 2012-04-03
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
ID, NC, OR
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 34 active pediatrics providers in Idaho.

NPI age
14 years
↓ 5 yr below median (19 yr)
State licenses
3 states
Top 58% — 41% of peers are multi-state
Subspecialties
0
50% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-04Enumerated in NPPES
2012 2026

Where they practice

Practice location
1055 N Curtis Rd
Boise, ID 837061309
📞 2083024600fax 2083024655
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2083675170fax 2083675180

Additional practice locations

6 secondary locations on file with NPPES.

Location 2
2200 Childrens Way, 8161 Dot
Nashville, TN 372320005
📞 6153223023
Location 3
200 Hawthorne Ln
Charlotte, NC 28204
📞 6064346063
Location 4
2500 Ne Neff Rd
Bend, OR 977016015
📞 5417066892fax 5417066813
Location 5
200 Hawthorne Ln
Charlotte, NC 28204
📞 6064346063
Location 6
4300 E Flamingo Ave
Nampa, ID 836873138
📞 2083024600fax 2083024655
Location 7
351 Sw 9th St
Ontario, OR 979142639
📞 5418817184

Specialties

  • Pediatrics Primary
    A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
    ID license #M-16996NC license #2018-00747OR license #MD209888 taxonomy 2080N0001X

Practice context

Part of a multi-provider practice. 378 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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