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KELSEY EILEEN MOE PCP-NP
NPI 1043173875
Nurse Practitioner - Pediatrics in Boise, ID

Active since December 08, 2025
305 E JEFFERSON ST, BOISE, ID 83712(208) 706-5437 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelsey Eileen Moe Pcp-np NPPES

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

KELSEY EILEEN MOE PCP-NP (NPI 1043173875) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (202530200) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1043173875
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELSEY EILEEN MOECredential: PCP-NP
Location Address305 E JEFFERSON STBoise, ID 83712-6231
Mailing Address305 E Jefferson StBoise, ID 83712-6231
Phone(208) 706-5437
Sole ProprietorNo
Enumeration DateDecember 8, 2025
NPPES CertifiedDecember 8, 2025
✔ NPI 1043173875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in ID · 202530200
305 E JEFFERSON ST, Boise, ID 83712
Open in Google Maps ↗

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.

HAILEY LIZABETH COLLETTE MS
Dietitian, Registered (Nutrition, Pediatric)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7081
ARIANA LAWRENCE MS, RD, LD
Dietitian, Registered
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7081
NATALIE PARRISH LCSW
Social Worker (Clinical)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7340
DR. PAUL CHRISTIAN NEVILLE O.D.
Optometrist
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-6910
LINDSEY RAE WENDEL CPNP-PC
Nurse Practitioner (Pediatrics)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7011
JASON JOHN OVEROCKER PA-C
Physician Assistant (Surgical)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7370
KODY MICHAEL DUCLOS RD, LD
Dietitian, Registered (Nutrition, Pediatric)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7081
ELIZABETH ASHLEY BLACK MD
Pediatrics (Pediatric Nephrology)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Moe's NPI number?

The NPI number for Kelsey Moe is 1043173875. It was assigned to this individual provider in the NPPES registry on December 8, 2025.

Where is Kelsey Moe located?

Kelsey Moe practices at 305 E Jefferson St, Boise, ID 83712. The listed phone number is (208) 706-5437.

What is Kelsey Moe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kelsey Moe was last updated on December 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.