ANDRINA KALITA PMHNP
NPI 1235023664
Nurse Practitioner - Psychiatric/Mental Health in Idaho Falls, ID

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since June 09, 2025PECOS EnrolledAccepts Medicare Assignment

2265 W BROADWAY ST, IDAHO FALLS, ID 83402(208) 524-7400 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 29, 2026, Jun 9, 2025 (2 updates tracked since 2025).

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About Andrina Kalita Pmhnp NPPES

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

ANDRINA KALITA PMHNP (NPI 1235023664) is an individual psychiatric/mental health provider in Idaho Falls, Idaho, licensed in Idaho (4371464) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (2025).

NPPES Registry Identity

NPI1235023664

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANDRINA KALITACredential: PMHNP

Location Address2265 W BROADWAY STIdaho Falls, ID 83402-2996

Mailing Address2265 W Broadway StIdaho Falls, ID 83402-2996 · (208) 524-7400 · Fax (208) 542-8004

Phone(208) 524-7400

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2025

Enumeration DateJune 9, 2025

Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1235023664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ID · 4371464

2265 W BROADWAY ST, Idaho Falls, ID 83402

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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

Andrina Kalita Pmhnp 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 ID4789175894

PECOS Enrollment IDI20251117003607

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 83402 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.