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KIMBERLY AMELIA RUTLAND WHNP
NPI 1073174199
Nurse Practitioner - Obstetrics & Gynecology in Sandpoint, ID

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
810 SIXTH AVE, SANDPOINT, ID 83864(208) 265-6252(208) 265-8214 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2021, Dec 29, 2020 (2 updates tracked since 2020).

About Kimberly Amelia Rutland Whnp NPPES

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

KIMBERLY AMELIA RUTLAND WHNP (NPI 1073174199) is an individual obstetrics & gynecology provider in Sandpoint, Idaho, licensed in Idaho (78336) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073174199
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameKIMBERLY AMELIA RUTLANDCredential: WHNP
Location Address810 SIXTH AVESandpoint, ID 83864-5396
Mailing Address810 Sixth AveSandpoint, ID 83864-5396 · (208) 265-6252 · Fax (208) 265-8214
Phone(208) 265-6252
Fax(208) 265-8214
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 28, 2019
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2024
✔ NPI 1073174199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
Licenses✔ Licensed in ID · 78336✔ Licensed in WA · AP61044089
810 SIXTH AVE, Sandpoint, ID 83864
Open in Google Maps ↗

Other Identifiers 1

Medicaid2171876WA

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

Kimberly Amelia Rutland Whnp 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 ID7911311642
PECOS Enrollment IDI20240207003673
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83864 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 13

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

TAMMY LYNN UNDIEMI FNP-BC
Nurse Practitioner
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-3410
MS. DEBRA ANN FREUND MS RN CPNP
Nurse Practitioner
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-7101
SARAH RAINS PA-C
Physician Assistant
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-6252
TARA LEIGH WEEKS VIZCARRA M.D.
Pediatrics
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-2242
SASHA MALONEY
Counselor (Addiction (Substance Use Disorder))
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 263-3410
DR. KAITLIN REBECCA GAGNON DMD
Dentist
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-2242
MEGAN GENTRY PA-C
Physician Assistant (Medical)
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-2242
SARA MARIE FISHER NP-C
Nurse Practitioner (Family)
810 SIXTH AVE
SANDPOINT, ID 83864
Bonner County (208) 265-6252

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 Kimberly Rutland's NPI number?

The NPI number for Kimberly Rutland is 1073174199. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Kimberly Rutland located?

Kimberly Rutland practices at 810 Sixth Ave, Sandpoint, ID 83864. The listed phone number is (208) 265-6252.

What is Kimberly Rutland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Kimberly Rutland enrolled in Medicare?

Yes. Kimberly Rutland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kimberly Rutland was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.