NPI age
15 years
Enumerated 2010-07-02
● Active
Type 1 · Individual
MRS. Jennifer Renee MacDermott, MS, RN, ACNS-BC
MacDermott is 1 of 24 nurse practitioner providers in Boise and 1 of 56 in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-08-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 56 active nurse practitioner providers in Idaho.
NPI age
15 years
↑ 2 yr above median (13 yr)
State licenses
2 states
Top 64% — 35% of peers are multi-state
Subspecialties
0
66% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Practice location
190 E Bannock St
Boise, ID 837126241
Mailing address
190 E Bannock St
Boise, ID 837126241
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OH) | 0194314 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
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Request a quote →How to verify this provider
- 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.