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SANDRA KIPP RDN
NPI 1295145654
Dietitian, Registered in Nampa, ID

Active since May 06, 2014Accepts Medicare Assignment
1105 2ND ST S, NAMPA, ID 83651(208) 250-0836(888) 972-6280 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sandra Kipp Rdn NPPES

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

SANDRA KIPP RDN (NPI 1295145654) is an individual dietitian, registered in Nampa, Idaho, licensed in Idaho (D-789) and active in the NPI registry since May 2014. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1295145654
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSANDRA KIPPCredential: RDN
Location Address1105 2ND ST SNampa, ID 83651-3911
Mailing Address823 W Mountain Ash LoopNampa, ID 83686-2681 · (208) 250-0836 · Fax (888) 972-6280
Phone(208) 250-0836
Fax(888) 972-6280
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 6, 2014
Last NPPES UpdateNovember 6, 2023
NPPES CertifiedNovember 6, 2023
✔ NPI 1295145654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in ID · D-789
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1105 2ND ST S, Nampa, ID 83651
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, 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

Sandra Kipp Rdn 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 ID749547313
PECOS Enrollment IDI20171206003461

Medicare Billing Reassignment

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

Sandy Kipp Rdn LLC
Same address
Dietitian, Registered
1105 2ND ST. S.
Nampa, ID 83651
  • Reassigned Medicare billing, Idaho enrollment
NPI 1164030755 (208) 250-0836

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 83651 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
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLNITE MEDICAL GROUP PA
Psychiatry & Neurology (Neurology)
1105 2ND ST S
NAMPA, ID 83651
Canyon County (650) 761-9770

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 Sandra Kipp's NPI number?

The NPI number for Sandra Kipp is 1295145654. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Where is Sandra Kipp located?

Sandra Kipp practices at 1105 2nd St S, Nampa, ID 83651. The listed phone number is (208) 250-0836.

What is Sandra Kipp's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Sandra Kipp enrolled in Medicare?

Yes. Sandra Kipp 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 Sandra Kipp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Kipp reassigns Medicare benefits to Sandy Kipp Rdn LLC (Nampa, 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 Sandra Kipp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Kipp accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Sandra Kipp 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 Sandra Kipp was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.