TARA KENNY
NPI 1477916310
Emergency Medicine in Meridian, ID
About Tara Kenny NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA KENNY (NPI 1477916310) is an individual emergency medicine provider in Meridian, Idaho, licensed in Idaho (M-14731) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses 2
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)
Tara Kenny is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tara Kenny reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boise, ID 83712
- Reassigned Medicare billing, Idaho enrollment
- 1,312 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tara Kenny's NPI number?
The NPI number for Tara Kenny is 1477916310. It was assigned to this individual provider in the NPPES registry on March 29, 2016.
Where is Tara Kenny located?
Tara Kenny practices at 3080 E Gentry Way Ste 210, Meridian, ID 83642. The listed phone number is (208) 810-2309.
What is Tara Kenny's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Tara Kenny enrolled in Medicare?
Yes. Tara Kenny is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tara Kenny's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Kenny reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, 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 Tara Kenny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Kenny accept?
Health plans from Moda Health Plan, Inc. list Tara Kenny 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 Tara Kenny was last updated on June 20, 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.
# Tara Kenny · NPI 1477916310
Emergency Medicine physician in Meridian, Idaho. Individual provider, active in the CMS NPPES registry since March 29, 2016.
## Identity
- **NPI:** 1477916310 (Entity type: Individual)
- **Enumerated:** March 29, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** M-14731 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 3080 E GENTRY WAY STE 210, Meridian, ID 83642-3013
- **Phone:** (208) 810-2309
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Lukes Clinic-Treasure Valley LLC (NPI 1326336058, Boise, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1477916310) · Data from the CMS NPPES public registry.