KAITLIN EDMINSTEN DNP, AGACNP-BC
NPI 1003650177
Nurse Practitioner - Acute Care in Boise, ID

Q: What is Kaitlin Edminsten's NPI number?

The NPI number for Kaitlin Edminsten is 1003650177. It was assigned to this individual provider in the NPPES registry on June 22, 2024.

Q: What is Kaitlin Edminsten's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Edminsten was last updated on August 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2024PECOS EnrolledAccepts Medicare Assignment

190 E BANNOCK ST, BOISE, ID 83712(208) 381-5015(208) 381-1873 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2024, Jun 22, 2024 (2 updates tracked since 2024).

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About Kaitlin Edminsten Dnp, Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLIN EDMINSTEN DNP, AGACNP-BC (NPI 1003650177) is an individual acute care provider in Boise, Idaho, licensed in Idaho (74901) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003650177

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKAITLIN EDMINSTENCredential: DNP, AGACNP-BC

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 381-5015

Fax(208) 381-1873

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 22, 2024

Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration

NPPES CertifiedAugust 5, 2024

✔ NPI 1003650177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in ID · 74901

190 E BANNOCK ST, Boise, ID 83712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaitlin Edminsten Dnp, Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486192812

PECOS Enrollment IDI20240816002241

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORA M SUAREZ NP

Nurse Practitioner (Neonatal, Critical Care)