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KELSEY MARTIN DNP, FNP-C
NPI 1205398708
Nurse Practitioner - Family in Meridian, ID

Active since April 03, 2019Opted out of Medicare · through Jan 1, 2028
3280 E LANARK DR, MERIDIAN, ID 83642(208) 377-4400(208) 377-4416 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2019, Apr 3, 2019 (2 updates tracked since 2019).

About Kelsey Martin Dnp, Fnp-c NPPES

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

KELSEY MARTIN DNP, FNP-C (NPI 1205398708) is an individual family provider in Meridian, Idaho, licensed in Idaho (61011) and active in the NPI registry since April 2019. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205398708
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY MARTINCredential: DNP, FNP-C
Location Address3280 E LANARK DRMeridian, ID 83642-5982
Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6500
Phone(208) 377-4400
Fax(208) 377-4416
Sole ProprietorYes
Enumeration DateApril 3, 2019
Last NPPES UpdateAugust 8, 20192 updates tracked since enumeration
✔ NPI 1205398708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · 61011
3280 E LANARK DR, Meridian, ID 83642
Open in Google Maps ↗

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

ⓘ

Opted out of Medicare

Kelsey Martin Dnp, Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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.

MELISSA MARIE PANNELL RN FNP-BC
Nurse Practitioner
3280 E LANARK DR
MERIDIAN, ID 83642
Ada County (208) 895-8670
THAO T NELSON PA-C
Physician Assistant (Medical)
3280 E LANARK DR
MERIDIAN, ID 83642
Ada County (208) 895-8670
MADELINE JOSEPHINE BETZ NP
Nurse Practitioner
3280 E LANARK DR
MERIDIAN, ID 83642
Ada County (208) 895-8670
ANDREW DON MCMURRAY PA-C
Physician Assistant
3280 E LANARK DR
MERIDIAN, ID 83642
Ada County (208) 895-8670
ERIN MARIE SHUMARD
Physician Assistant
3280 E LANARK DR
MERIDIAN, ID 83642
Ada County (208) 377-4400
JENNIFER NESBITT PNP
Nurse Practitioner
3280 E LANARK DR
MERIDIAN, ID 83642
Ada County (208) 377-4400
SUSAN C KIM MD
Pediatrics
3280 E LANARK DR
MERIDIAN, ID 83642
Ada County (208) 377-4400
TYLER WADDINGTON HUDON MD, MPH
Family Medicine
3280 E LANARK DR
MERIDIAN, ID 83642
Ada County (208) 895-8670

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 Kelsey Martin's NPI number?

The NPI number for Kelsey Martin is 1205398708. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Kelsey Martin located?

Kelsey Martin practices at 3280 E Lanark Dr, Meridian, ID 83642. The listed phone number is (208) 377-4400.

What is Kelsey Martin's specialty?

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

Is Kelsey Martin enrolled in Medicare?

No. Kelsey Martin has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kelsey Martin accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kelsey Martin 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.

When was this NPI record last updated?

The NPPES record for Kelsey Martin was last updated on August 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.