MS. AMIE BETH KENYEN (NP-C) – Nurse Practitioner, NPI 1114569282

MS. AMIE BETH KENYEN (NP-C) is a healthcare provider. based in Idaho falls, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 62679 (ID). The NPI Number for MS. AMIE BETH KENYEN (NP-C) is 1114569282

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMIE BETH KENYEN (NP-C)
NPI
1114569282
Phone
(208) 589-3844
Address
2375 E Sunnyside Rd Ste F
Enumeration Date
10 October 2019
Last Update Date
10 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085018955
Graduation Year
2019 (7 years ago)
PAC ID
1658706700
Group Practice PAC ID
6204733256
Professional Enrollment ID
I20210702000925
Address ID
OR979143953ON515XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,798 NURSE PRACTITIONER in ID

Provider Addresses for MS. AMIE BETH KENYEN (NP-C)

  • 2375 E Sunnyside Rd Ste F

    Idaho Falls, ID 834048281

    Phone: (208) 589-3844

    Type: Location

  • 3592, Nathan Drive, Idaho Falls, Bonneville County, Idaho, 83404, United States

    IDAHO FALLS, ID 834047948

    Phone: (208) 589-3844

    Type: Mailing

  • Hospital Way, Pocatello, Bannock County, Idaho, 83201, United States

    POCATELLO, ID 832012714

    Phone: (208) 589-3844

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $525.

Total Amount is formed as General ($525) + Research ($0) + Ownership ($0) = $525.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($292).

Total Amount

$525

General + Research + Ownership

Payments

5

Total payment records

General Amount

$525

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200214001282INurse PractitionerIDTBD
I20210702000925INurse PractitionerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13191$0
View full utilization report →

Insurance plans in this area (ZIP 83404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204733256View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
N E P H R O L O G YNY
Nephrology, Internal MedicineMI
N E P H R O L O G YMI
N E P H R O L O G YMI
Nephrology, Internal MedicineMI
N E P H R O L O G YMI
-MI
-ID

Reviews

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Frequently asked questions

What is the registry number for MS. AMIE BETH KENYEN (NP-C)?
The registry entry for MS. AMIE BETH KENYEN (NP-C) shows NPI 1114569282.
Is MS. AMIE BETH KENYEN (NP-C) currently accepting referrals based on NPI status?
Registry metadata lists MS. AMIE BETH KENYEN (NP-C) as active.
What services align with MS. AMIE BETH KENYEN (NP-C)'s listing?
MS. AMIE BETH KENYEN (NP-C)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. AMIE BETH KENYEN (NP-C)?
MS. AMIE BETH KENYEN (NP-C) is associated with Idaho Falls, Idaho in the same public data insurers reference.
Why is information missing for MS. AMIE BETH KENYEN (NP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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