KATE ELIZABETH REIDY (FNP-C) – Family Nurse Practitioner, NPI 1134720196

KATE ELIZABETH REIDY (FNP-C) is a healthcare provider. based in Hayden, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 66278 (ID). The NPI Number for KATE ELIZABETH REIDY (FNP-C) is 1134720196

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KATE ELIZABETH REIDY (FNP-C)
NPI
1134720196
Phone
(509) 999-0100
Address
1382 W TANAGER AVE
Enumeration Date
5 November 2020
Last Update Date
13 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082659817
Graduation Year
2020 (6 years ago)
PAC ID
2668885898
Group Practice PAC ID
0840385670
Professional Enrollment ID
I20210114001311
Address ID
ID838525005PO30544200X302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for KATE ELIZABETH REIDY (FNP-C)

  • 1382 W TANAGER AVE

    HAYDEN, ID 838358855

    Phone: (509) 999-0100

    Type: Mailing

  • 1130 W PRAIRIE AVE

    COEUR D ALENE, ID 838158780

    Phone: (208) 209-0288

    Type: Location

  • 1130 W Prairie Ave

    Coeur D Alene, ID 838158780

    Phone: (208) 209-0288

    Type: Location

  • 16760 N HIGHWAY 41

    RATHDRUM, ID 838588715

    Phone: (208) 620-5250

    Fax: (844) 807-3782

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $221.

Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Novo Nordisk Inc ($82).

Total Amount

$221

General + Research + Ownership

Payments

12

Total payment records

General Amount

$221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

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: 2021-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210114001311INurse PractitionerIDTBD

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 minutes246138$0
36415Insertion of needle into vein for collection of blood sample168106$0
99213Established patient office or other outpatient visit, 20-29 minutes7961$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6868$0
G0008Administration of influenza virus vaccine2727$0
View full utilization report →

Insurance plans in this area (ZIP 83835)

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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: 0840385670View full group profile
NameSpecialtyState
Family PracticeID
Orthopedic SurgeryMI
Nurse PractitionerID
Registered Dietitian Or Nutrition ProfessionalID
Orthopedic SurgeryID
Registered Dietitian Or Nutrition ProfessionalID
Orthopedic SurgeryID
P O D I A T R YID

Reviews

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Frequently asked questions

How do I look up KATE ELIZABETH REIDY (FNP-C) by NPI?
Use NPI 1134720196 when you need to reference KATE ELIZABETH REIDY (FNP-C) in forms, claims, or directories.
Is KATE ELIZABETH REIDY (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KATE ELIZABETH REIDY (FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for KATE ELIZABETH REIDY (FNP-C). Clinical services aligned with this taxonomy classification.
Where is KATE ELIZABETH REIDY (FNP-C)'s primary listing?
We display Hayden, Idaho because that is what the record indicates for KATE ELIZABETH REIDY (FNP-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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