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KATYLYNN ANN DIZDAREVIC-MILLER MD
NPI 1104568237
Family Medicine in Nampa, ID

Active since April 09, 2022PECOS EnrolledAccepts Medicare Assignment
9850 W ST LUKES DR, NAMPA, ID 83687(208) 463-7300(208) 463-7301 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2025, Apr 9, 2022 (2 updates tracked since 2022).

About Katylynn Ann Dizdarevic-miller Md NPPES

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

KATYLYNN ANN DIZDAREVIC-MILLER MD (NPI 1104568237) is an individual family medicine provider in Nampa, Idaho, licensed in Idaho (M17436) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Coeur D Alene.

NPPES Registry Identity

NPI1104568237
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATYLYNN ANN DIZDAREVIC-MILLERCredential: MD
Location Address9850 W ST LUKES DRNampa, ID 83687-7912
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 463-7300
Fax(208) 463-7301
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2022
Enumeration DateApril 9, 2022
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1104568237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M17436
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9850 W ST LUKES DR, Nampa, ID 83687
Open in Google Maps ↗

Secondary Practice Location 1

Location 11919 Lincoln Way Ste 315Coeur D Alene, ID 83814-2527 · Phone (208) 625-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Katylynn Ann Dizdarevic-miller Md 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 ID4284093873
PECOS Enrollment IDI20240701003258
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 3

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai 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 83687 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.

JOHN-MINH NGUYEN D.O
Psychiatry & Neurology (Psychiatry)
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 706-6375
LINDSAY NELSON LMSW
Social Worker (Clinical)
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 505-2000
BONNIE HOEWING NP
Nurse Practitioner
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 205-7282
MANDY PALESANO PHARMD
Pharmacist
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 505-2628
MRS. PATRICIA K AGGERS PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 205-7394
SUDHA SUBRAMANYAM MD
Family Medicine
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 205-7282
CHARLES CLARK III MD
Orthopaedic Surgery
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 706-2663
JOHN M NICHOLS MD
Obstetrics & Gynecology
9850 W ST LUKES DR
NAMPA, ID 83687
Canyon County (208) 381-2267

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 Katylynn Dizdarevic-miller's NPI number?

The NPI number for Katylynn Dizdarevic-miller is 1104568237. It was assigned to this individual provider in the NPPES registry on April 9, 2022.

Where is Katylynn Dizdarevic-miller located?

Katylynn Dizdarevic-miller practices at 9850 W St Lukes Dr, Nampa, ID 83687. The listed phone number is (208) 463-7300.

What is Katylynn Dizdarevic-miller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katylynn Dizdarevic-miller enrolled in Medicare?

Yes. Katylynn Dizdarevic-miller 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.

What insurance does Katylynn Dizdarevic-miller accept?

Health plans from Moda Health Plan, Inc. list Katylynn Dizdarevic-miller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Katylynn Dizdarevic-miller affiliated with any hospitals?

According to CMS data, Katylynn Dizdarevic-miller is affiliated with St Luke's Regional Medical Center, Kootenai Health and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Katylynn Dizdarevic-miller was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.