NICOLE DIANA MADILL-KLUPENGER LCPC 6404
NPI 1366990996
Counselor - Mental Health in Bonners Ferry, ID
About Nicole Diana Madill-klupenger Lcpc 6404 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE DIANA MADILL-KLUPENGER LCPC 6404 (NPI 1366990996) is an individual mental health provider in Bonners Ferry, Idaho, licensed in Idaho (LCPC-6404) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bonners Ferry, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Diana Madill-klupenger Lcpc 6404 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Madill-klupenger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bonners Ferry, ID 83805
- Reassigned Medicare billing, Idaho enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nicole Madill-klupenger's NPI number?
The NPI number for Nicole Madill-klupenger is 1366990996. It was assigned to this individual provider in the NPPES registry on September 12, 2016. The provider is also known as Nicole Diana Klupenger Lcpc 6404.
Where is Nicole Madill-klupenger located?
Nicole Madill-klupenger practices at 687 Camp Nine Rd, Bonners Ferry, ID 83805. The listed phone number is (541) 314-5734.
What is Nicole Madill-klupenger's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nicole Madill-klupenger enrolled in Medicare?
Yes. Nicole Madill-klupenger is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Madill-klupenger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Madill-klupenger reassigns Medicare benefits to Rawlings Community Counseling (Bonners Ferry, 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 Nicole Madill-klupenger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Madill-klupenger accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare and PacificSource Health Plans list Nicole Madill-klupenger 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 Nicole Madill-klupenger was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nicole Diana Madill-Klupenger, LCPC 6404 · NPI 1366990996
Mental Health provider in Bonners Ferry, Idaho. Individual provider, active in the CMS NPPES registry since September 12, 2016.
## Identity
- **NPI:** 1366990996 (Entity type: Individual)
- **Enumerated:** September 12, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LCPC-6404 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 687 CAMP NINE RD, Bonners Ferry, ID 83805-5074
- **Phone:** (541) 314-5734
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Rawlings Community Counseling (NPI 1245528082, Bonners Ferry, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** June 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366990996) · Data from the CMS NPPES public registry.