DR. KATHERINE S STEVENS MD
NPI 1124017462
Pediatrics in Boise, ID

Q: What is Katherine Stevens's NPI number?

The NPI number for Katherine Stevens is 1124017462. It was assigned to this individual provider in the NPPES registry on October 19, 2005. The provider is also known as Ms. Katherine Ann Drake MD.

Q: What is Katherine Stevens's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Stevens was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 19, 2005PECOS Enrolled

190 E BANNOCK ST, PED. HOSPITALIST, BOISE, ID 83712(208) 381-2222(208) 381-4509 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Katherine S Stevens Md NPPES

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

DR. KATHERINE S STEVENS MD (NPI 1124017462) is an individual pediatrics provider in Boise, Idaho, licensed in Idaho (M6409) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124017462

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KATHERINE S STEVENSCredential: MD

Location Address190 E BANNOCK ST, PED. HOSPITALISTBoise, ID 83712-6241

Mailing Address190 E. Bannock, Ped. HospitalistBoise, ID 83712 · (208) 381-2222 · Fax (208) 381-4509

Phone(208) 381-2222

Fax(208) 381-4509

Sole ProprietorNo

Enumeration DateOctober 19, 2005

Last NPPES UpdateSeptember 18, 2012

✔ NPI 1124017462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in ID · M6409

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

190 E BANNOCK ST, Boise, ID 83712

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Other Names 1

Former Name (1)Ms. Katherine Ann Drake Md

Other Identifiers 1

Medicare PIN20000409ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katherine S Stevens Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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)