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KIMIKNU MENTORE MD
NPI 1184128480
Internal Medicine in Boise, ID

Active since March 21, 2018PECOS EnrolledAccepts Medicare Assignment
5966 W CURTISIAN AVE, BOISE, ID 83704(208) 302-5450 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2025, Jul 10, 2025, Oct 8, 2024 and 2 more (5 updates tracked since 2018).

About Kimiknu Mentore Md NPPES

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

KIMIKNU MENTORE MD (NPI 1184128480) is an individual internal medicine provider in Boise, Idaho, licensed in Idaho (2771058) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1184128480
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKIMIKNU MENTORECredential: MD
Location Address5966 W CURTISIAN AVEBoise, ID 83704-8801
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170
Phone(208) 302-5450
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 21, 2018
Last NPPES UpdateOctober 9, 20255 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1184128480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ID · 2771058
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License MD2024-0242 (NM)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5966 W CURTISIAN AVE, Boise, ID 83704
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Secondary Practice Location 1

Location 11 University of New Mexico, MSC10 5550Albuquerque, NM 87131 · Phone (505) 272-4461

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

Kimiknu Mentore 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 ID3678008471
PECOS Enrollment IDI20241202003384, I20250724002783
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.

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
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.

ALEX PETER HYTROS PHARMD
Pharmacist (Ambulatory Care)
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5460
MICHELLE STACEY CHRISTOPHER M.D.
Internal Medicine (Hospice and Palliative Medicine)
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5470
RANAN GRACE SPOLAR NP-C
Nurse Practitioner (Family)
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5470
WHITNEY LYNN FINCH
Nurse Practitioner
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5450
DR. VICTOR BARTLING D.O.
Family Medicine (Hospice and Palliative Medicine)
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5480
KEVIN WILLIAM WILSON DO
Internal Medicine
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5400
JEREMY CROWFOOT PHARM.D.
Pharmacist
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5470
KELSEY HAMILTON SMITH NP
Nurse Practitioner (Primary Care)
5966 W CURTISIAN AVE
BOISE, ID 83704
Ada County (208) 302-5400

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 Kimiknu Mentore's NPI number?

The NPI number for Kimiknu Mentore is 1184128480. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Kimiknu Mentore located?

Kimiknu Mentore practices at 5966 W Curtisian Ave, Boise, ID 83704. The listed phone number is (208) 302-5450.

What is Kimiknu Mentore's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kimiknu Mentore enrolled in Medicare?

Yes. Kimiknu Mentore 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 Kimiknu Mentore accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Kimiknu Mentore 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 Kimiknu Mentore affiliated with any hospitals?

According to CMS data, Kimiknu Mentore is affiliated with Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa and Unm Hospital.

When was this NPI record last updated?

The NPPES record for Kimiknu Mentore was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.