KAITANA MARTINEZ DAHLE – Family Nurse Practitioner, NPI 1255080321
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,798 NURSE PRACTITIONER in ID
Provider Addresses for KAITANA MARTINEZ DAHLE
1431 S MAIN ST
PAYETTE, ID 836615352
Phone: (208) 642-7364
Type: Mailing
1441 NE 10TH AVE
PAYETTE, ID 836615420
Phone: (208) 642-9376
Type: Location
896 FORTNER ST
ONTARIO, OR 979141787
Phone: (541) 881-2828
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2023-07-10 • Largest payer in this snapshot: Alkermes, Inc. ($22).
Total Amount
$73
General + Research + Ownership
Payments
4
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $22 |
| Lilly USA, LLC | $19 |
| Otsuka America Pharmaceutical, Inc. | $17 |
| Novo Nordisk Inc | $15 |
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: 2022-07-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220726003376 | I | Nurse Practitioner | ID | TBD |
| I20220726003614 | I | Nurse Practitioner | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 17 | 13 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 12 | 11 | $0 |
Insurance plans in this area (ZIP 83661)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| - | OR | |
| Emergency Medicine, Family Practice | OR | |
| Family Practice | ID | |
| - | ID | |
| - | ID | |
| Physician Assistant | TX | |
| Physician Assistant | OR |
Reviews
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