KIMBERLY ANN ASHMORE NP
NPI 1104581123
Nurse Practitioner - Family in Coeur D Alene, ID

Q: What is Kimberly Ashmore's NPI number?

The NPI number for Kimberly Ashmore is 1104581123. It was assigned to this individual provider in the NPPES registry on November 4, 2021.

Q: What is Kimberly Ashmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Ashmore was last updated on August 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 04, 2021PECOS EnrolledAccepts Medicare Assignment

1090 W PARK PL, COEUR D ALENE, ID 83814(208) 215-2005(844) 807-3782 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2023, Nov 4, 2021 (2 updates tracked since 2021).

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About Kimberly Ann Ashmore Np NPPES

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

KIMBERLY ANN ASHMORE NP (NPI 1104581123) is an individual family provider in Coeur D Alene, Idaho, licensed in Idaho (77275) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104581123

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY ANN ASHMORECredential: NP

Location Address1090 W PARK PLCoeur D Alene, ID 83814-2785

Mailing AddressPo Box 1387Hayden, ID 83835-1387 · (208) 415-0299 · Fax (208) 625-2070

Phone(208) 215-2005

Fax(844) 807-3782

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 4, 2021

Last NPPES UpdateAugust 10, 20232 updates tracked since enumeration

NPPES CertifiedAugust 10, 2023

✔ NPI 1104581123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · 77275

Also ListedRegistered NurseTaxonomy 163W00000X · License 39558 (ID)

1090 W PARK PL, Coeur D Alene, ID 83814

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Accepted Insurance

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

Kimberly Ann Ashmore Np 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 ID5597128454

PECOS Enrollment IDI20230825001656

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

27 services26 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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.

DEBORAH MAGNUSON APRN

Nurse Practitioner (Pediatrics)