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KENON KILDEW N.P.
NPI 1396976072
Nurse Practitioner - Family in Boise, ID

Active since July 29, 2009PECOS Enrolled
2402 W. JEFFERSON ST., BOISE, ID 83702(208) 369-4590(208) 906-2346 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenon Kildew N.p. NPPES

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

KENON KILDEW N.P. (NPI 1396976072) is an individual family provider in Boise, Idaho, licensed in Idaho (NP-1237A) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396976072
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENON KILDEWCredential: N.P.
Location Address2402 W. JEFFERSON ST.Boise, ID 83702
Mailing Address2402 W. Jefferson St.Boise, ID 83702 · (208) 369-4590 · Fax (208) 906-2346
Phone(208) 369-4590
Fax(208) 906-2346
Sole ProprietorNo
Enumeration DateJuly 29, 2009
Last NPPES UpdateAugust 7, 2019
✔ NPI 1396976072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in ID · NP-1237A✔ Licensed in MA · RN284255
2402 W. JEFFERSON ST., Boise, ID 83702
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Other Identifiers 2

Other002002503Medicare
MedicaidKK86131RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenon Kildew N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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
$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.

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 Kenon Kildew's NPI number?

The NPI number for Kenon Kildew is 1396976072. It was assigned to this individual provider in the NPPES registry on July 29, 2009.

Where is Kenon Kildew located?

Kenon Kildew practices at 2402 W. Jefferson St., Boise, ID 83702. The listed phone number is (208) 369-4590.

What is Kenon Kildew's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kenon Kildew enrolled in Medicare?

Yes. Kenon Kildew is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenon Kildew was last updated on August 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.