KAITLYN ALTUZARRA DNP
NPI 1417619651
Nurse Practitioner - Family in Boise, ID

Active since October 05, 2021PECOS EnrolledAccepts Medicare Assignment
6051 W EMERALD ST, BOISE, ID 83704(208) 302-5100(208) 302-5155 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2024, Aug 10, 2024, Oct 5, 2021 (3 updates tracked since 2021).

About Kaitlyn Altuzarra Dnp NPPES

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

KAITLYN ALTUZARRA DNP (NPI 1417619651) is an individual family provider in Boise, Idaho, licensed in Idaho (8161874) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boise, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417619651
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLYN ALTUZARRACredential: DNP
Location Address6051 W EMERALD STBoise, ID 83704-8969
Mailing AddressPo Box 190930Boise, ID 83719-0930
Fax(208) 302-5155
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 5, 2021
Last NPPES UpdateJuly 15, 20253 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
NPI 1417619651 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
License Licensed in ID · 8161874
6051 W EMERALD ST, Boise, ID 83704

Secondary Practice Location 1

Location 1500 W Fort StBoise, ID 83702-4501 · Phone (208) 422-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kaitlyn Altuzarra Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577070051
PECOS Enrollment IDI20250729003323
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 83704 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.

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.

Family Medicine
6051 W EMERALD ST
BOISE, ID 83704
Preventive Medicine (Occupational Medicine)
6051 W EMERALD ST
BOISE, ID 83704
Specialist/Technologist (Athletic Trainer)
6051 W EMERALD ST
BOISE, ID 83704
Preventive Medicine (Occupational Medicine)
6051 W EMERALD ST
BOISE, ID 83704
Family Medicine
6051 W EMERALD ST
BOISE, ID 83704
Physician Assistant
6051 W EMERALD ST
BOISE, ID 83704
Physician Assistant
6051 W EMERALD ST
BOISE, ID 83704
Family Medicine
6051 W EMERALD ST
BOISE, ID 83704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417619651, enumerated as an "individual" on October 05, 2021.

The provider is located at 6051 W EMERALD ST BOISE, ID 83704 and the phone number is (208) 302-5100.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.