KATHLEEN ROSE NIELSEN PA
NPI 1336196757
Physician Assistant in Meridian, ID

Active since May 30, 2006Opted out of Medicare · through Oct 1, 2026
2640 S EAGLE RD, MERIDIAN, ID 83642(208) 884-0835(208) 884-4794 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2026, Mar 7, 2023 (2 updates tracked since 2023).

About Kathleen Rose Nielsen Pa NPPES

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

KATHLEEN ROSE NIELSEN PA (NPI 1336196757) is an individual physician assistant in Meridian, Idaho, licensed in Idaho (PA411) and active in the NPI registry since May 2006. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336196757
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN ROSE NIELSENCredential: PA
Location Address2640 S EAGLE RDMeridian, ID 83642-6704
Mailing Address2640 S Eagle RdMeridian, ID 83642-6704 · (208) 884-0835 · Fax (208) 884-4794
Fax(208) 884-4794
Sole ProprietorYes
Enumeration DateMay 30, 2006
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1336196757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ID · PA411
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2640 S EAGLE RD, Meridian, ID 83642

Other Identifiers 1

OtherPA411ID · Idaho Medical License

Accepted 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

Kathleen Rose Nielsen Pa 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 October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016
Opt-Out In Effect ThroughOctober 1, 2026Opt-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
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Family Medicine
2640 S EAGLE RD
MERIDIAN, ID 83642
Family Medicine
2640 S EAGLE RD
MERIDIAN, ID 83642
Nurse Practitioner (Family)
2640 S EAGLE RD
MERIDIAN, ID 83642
Family Medicine
2640 S EAGLE RD
MERIDIAN, ID 83642
Family Medicine
2640 S EAGLE RD
MERIDIAN, ID 83642

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 Kathleen Nielsen's NPI number?

The NPI number for Kathleen Nielsen is 1336196757. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Kathleen Nielsen located?

Kathleen Nielsen practices at 2640 S Eagle Rd, Meridian, ID 83642. The listed phone number is (208) 884-0835.

What is Kathleen Nielsen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kathleen Nielsen enrolled in Medicare?

No. Kathleen Nielsen has opted out of Medicare through October 1, 2026. 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 Kathleen Nielsen accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Kathleen Nielsen 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 Kathleen Nielsen was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.