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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Andrina Kalita reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tueller Counseling Inc
Same address
Mental Health (Including Community Mental Health Center)
2265 W BROADWAY ST
Idaho Falls, ID 83402
  • Reassigned Medicare billing, Idaho enrollment
  • 23 clinicians in this Medicare group
NPI 1477766905 (208) 524-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

CAITLIN ELIZABETH TUTTLE
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
LIZA PAIGE HANSEN LCSW
Social Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
IZABELLA KOON
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
ERICA ALLRED
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
KAYLNN JOHANSEN
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
ALEXANDER SOREN TAVARES
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
SHELBY JOHNSON
Community Health Worker
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
DIANNE NICHOLS LCSW
Social Worker (Clinical)
2265 W BROADWAY ST
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400

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 Andrina Kalita's NPI number?

The NPI number for Andrina Kalita is 1235023664. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Andrina Kalita located?

Andrina Kalita practices at 2265 W Broadway St, Idaho Falls, ID 83402. The listed phone number is (208) 524-7400.

What is Andrina Kalita's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Andrina Kalita enrolled in Medicare?

Yes. Andrina Kalita 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.

Which organization bills Medicare for Andrina Kalita's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrina Kalita reassigns Medicare benefits to Tueller Counseling Inc (Idaho Falls, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrina Kalita's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrina Kalita accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, Providence Health Plan, Select Health and University of Utah Health Plans list Andrina Kalita 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 Andrina Kalita was last updated on January 29, 2026. 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.