COLT KENNINGTON
NPI 1386106268
Psychiatry & Neurology - Psychiatry in Caldwell, ID

Q: What is Colt Kennington's NPI number?

The NPI number for Colt Kennington is 1386106268. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Colt Kennington's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Colt Kennington was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 01, 2019PECOS Enrolled

1906 FAIRVIEW AVE STE 220, CALDWELL, ID 83605(208) 795-5072 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2021, Apr 1, 2019 (2 updates tracked since 2019).

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About Colt Kennington NPPES

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

COLT KENNINGTON (NPI 1386106268) is an individual psychiatry provider in Caldwell, Idaho, licensed in Idaho (O-1812) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with West Valley Medical Center, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2019).

NPPES Registry Identity

NPI1386106268

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameCOLT KENNINGTON

Location Address1906 FAIRVIEW AVE STE 220Caldwell, ID 83605-5432

Mailing AddressPo Box 277976Atlanta, GA 30384-7976

Phone(208) 795-5072

Sole ProprietorNo

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2019

Enumeration DateApril 1, 2019

Last NPPES UpdateJune 30, 20232 updates tracked since enumeration

NPPES CertifiedJune 30, 2023

✔ NPI 1386106268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in ID · O-1812

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1906 FAIRVIEW AVE STE 220, Caldwell, ID 83605

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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, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colt Kennington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395139612

PECOS Enrollment IDI20230814003867

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 Colt Kennington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Valley Medical Group LLC

Same address

Internal Medicine

1906 FAIRVIEW AVE STE 230
Caldwell, ID 83605

Reassigned Medicare billing, Idaho enrollment
10 clinicians in this Medicare group

NPI 1871673798 (208) 459-4667

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

62 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

46 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

33 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Valley Medical Center

Acute Care Hospitals · Caldwell, ID

5/5 CMS rating

OwnershipProprietary

CMS Certification Number130014

Location1717 Arlington StreetCaldwell, ID 83605 · Canyon County

Emergency services

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130018

Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 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

$160.17 typical visit price

range $52.44 – $160.17

Typical copayment $40.04 (range $13.11 – $40.04)

Most-billed visit code 99205

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.

Other Providers at the Same Location NPPES 3

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

DR. RICHARD A. MONTGOMERY M.D.

Psychiatry & Neurology (Psychiatry)

1906 FAIRVIEW AVE STE 220
CALDWELL, ID 83605

Canyon County (208) 795-5072

BLAKE MCDONALD PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

1906 FAIRVIEW AVE STE 220
CALDWELL, ID 83605

Canyon County (208) 795-5072

DR. ALFRED F BREM DO

Psychiatry & Neurology (Psychiatry)

1906 FAIRVIEW AVE STE 220
CALDWELL, ID 83605

Canyon County (208) 459-4667

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 Colt Kennington's NPI number?

The NPI number for Colt Kennington is 1386106268. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Colt Kennington located?

Colt Kennington practices at 1906 Fairview Ave Ste 220, Caldwell, ID 83605. The listed phone number is (208) 795-5072.

What is Colt Kennington's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Colt Kennington enrolled in Medicare?

Yes. Colt Kennington is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Colt Kennington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colt Kennington reassigns Medicare benefits to West Valley Medical Group LLC (Caldwell, 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 Colt Kennington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colt Kennington accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Colt Kennington 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.

Is Colt Kennington affiliated with any hospitals?

According to CMS data, Colt Kennington is affiliated with West Valley Medical Center and Eastern Idaho Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Colt Kennington was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.