KATHRYN E NIELSEN (NP) – Primary Care Nurse Practitioner, NPI 1619416674
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
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Provider Addresses for KATHRYN E NIELSEN (NP)
PO BOX 2106
IDAHO FALLS, ID 834032106
Phone: (208) 523-5319
Fax: (208) 523-5627
Type: Mailing
3910, Washington Parkway, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 834047596
Phone: (208) 523-1122
Fax: (208) 523-2582
Type: Location
3910 WASHINGTON PARKWAY
IDAHO FALLS, ID 834047596
Phone: (208) 528-0253
Fax: (208) 523-5682
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 100 Open Payments records for all available years, with a total value of $2,832.
Total Amount is formed as General ($2,832) + Research ($0) + Ownership ($0) = $2,832.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($1,428).
Total Amount
$2,832
General + Research + Ownership
Payments
100
Total payment records
General Amount
$2,832
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,428 |
| Novartis Pharmaceuticals Corporation | $298 |
| Lilly USA, LLC | $191 |
| IDORSIA PHARMACEUTICALS US INC | $86 |
| Novo Nordisk Inc | $68 |
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: 2017-05-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170526001920 | I | Nurse Practitioner | ID | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 546 | 342 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 523 | 348 | $0 |
| 83036 | Hemoglobin a1c level | 463 | 302 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 403 | 289 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 274 | 188 | $0 |
Insurance plans in this area (ZIP 83403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Registered Dietitian Or Nutrition Professional | ID | |
| E N D O C R I N O L O G Y | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Endocrinology, Internal Medicine | ID | |
| Registered Dietitian Or Nutrition Professional | ID | |
| Registered Dietitian Or Nutrition Professional | ID |
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