Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY PORTER LMSW
NPI 1396520987
Social Worker - Clinical in Idaho Falls, ID

Active since August 30, 2023PECOS Enrolled
1908 JENNIE LEE DR, IDAHO FALLS, ID 83404(208) 932-7048 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2026, Aug 30, 2023 (2 updates tracked since 2023).

About Kimberly Porter Lmsw NPPES

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

KIMBERLY PORTER LMSW (NPI 1396520987) is an individual clinical provider in Idaho Falls, Idaho, licensed in Idaho (8911431) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396520987
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY PORTERCredential: LMSW
Location Address1908 JENNIE LEE DRIdaho Falls, ID 83404-6159
Mailing Address1908 Jennie Lee DrIdaho Falls, ID 83404-6159 · (208) 932-7048
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 30, 2023
Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1396520987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · 8911431
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1908 JENNIE LEE DR, Idaho Falls, ID 83404

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)

Kimberly Porter Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749758126
PECOS Enrollment IDI20260504007793
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 Kimberly Porter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1908 JENNIE LEE DR
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 5 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$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 20

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

Counselor (Professional)
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Social Worker (Clinical)
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Social Worker (Clinical)
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Social Worker (Clinical)
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Social Worker
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Case Management
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Social Worker (Clinical)
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404
Counselor (Mental Health)
1908 JENNIE LEE DR
IDAHO FALLS, ID 83404

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 Kimberly Porter's NPI number?

The NPI number for Kimberly Porter is 1396520987. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Kimberly Porter located?

Kimberly Porter practices at 1908 Jennie Lee Dr, Idaho Falls, ID 83404. The listed phone number is (208) 932-7048.

What is Kimberly Porter's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kimberly Porter enrolled in Medicare?

Yes. Kimberly Porter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Porter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Porter reassigns Medicare benefits to Insight And Empowerment, LLC (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 Kimberly Porter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Porter accept?

Health plans from PacificSource Health Plans and Select Health list Kimberly Porter 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 Kimberly Porter was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.