MRS. KIMBERLEY HELEN ODOM (FNP) – Registered Nurse, NPI 1659806941
Registered Nurse
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for MRS. KIMBERLEY HELEN ODOM (FNP)
8895 S DEEP CREEK DR
WEST JORDAN, UT 840813325
Phone: (801) 574-5277
Type: Mailing
3420 S FORK AVE
NAMPA, ID 836864856
Phone: (801) 574-5277
Type: Mailing
6965 N GLENWOOD ST
BOISE, ID 837141967
Phone: (208) 853-3000
Type: Location
1550 N CRESTMONT DR STE G
MERIDIAN, ID 836422177
Phone: (208) 629-2023
Fax: (208) 759-5840
Type: Mailing
1550 N CRESTMONT DRIVE
SUITE G
MERIDIAN, ID 83642
Phone: (208) 629-2023
Fax: (208) 759-5840
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $276.
Total Amount is formed as General ($276) + Research ($0) + Ownership ($0) = $276.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($223).
Total Amount
$276
General + Research + Ownership
Payments
7
Total payment records
General Amount
$276
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Galderma Laboratories, L.P. | $223 |
| ABBVIE INC. | $20 |
| Exact Sciences Corporation | $19 |
| PFIZER INC. | $14 |
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: 2021-11-12
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 |
|---|---|---|---|---|
| I20211112001784 | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 84081)
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