SAMANTHA DE BRUYN KOPS (APRN, FNP-C) – Family Nurse Practitioner, NPI 1730744947
Family 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 SAMANTHA DE BRUYN KOPS (APRN, FNP-C)
East 17th Street, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 834048042
Phone: (208) 522-6106
Type: Mailing
3360 Washington Pkwy Ste 2
Idaho Falls, ID 834048333
Phone: (208) 932-7024
Type: Location
6405 S 3000 E STE 201
SALT LAKE CITY, UT 841216990
Phone: (801) 266-3113
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 121 Open Payments records for all available years, with a total value of $3,167.
Total Amount is formed as General ($3,167) + Research ($0) + Ownership ($0) = $3,167.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Amgen Inc. ($646).
Total Amount
$3,167
General + Research + Ownership
Payments
121
Total payment records
General Amount
$3,167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $646 |
| AstraZeneca Pharmaceuticals LP | $262 |
| Novo Nordisk Inc | $226 |
| ABBVIE INC. | $193 |
| Corcept Therapeutics | $165 |
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: 2019-06-28
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 |
|---|---|---|---|---|
| I20190628002896 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 53 | 20 | $0 |
Insurance plans in this area (ZIP 83404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | ID |
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