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MRS. KIMBERLEY HELEN ODOM FNP
NPI 1659806941
Nurse Practitioner - Family in Meridian, ID

Active since April 25, 2017PECOS EnrolledAccepts Medicare Assignment
1550 N CRESTMONT DRIVE, SUITE G, MERIDIAN, ID 83642(208) 629-2023(208) 759-5840 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2024, Jul 26, 2021, Apr 25, 2017 (3 updates tracked since 2017).

About Mrs. Kimberley Helen Odom Fnp NPPES

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

MRS. KIMBERLEY HELEN ODOM FNP (NPI 1659806941) is an individual family provider in Meridian, Idaho, licensed in Idaho (68579) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659806941
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIMBERLEY HELEN ODOMCredential: FNP
Location Address1550 N CRESTMONT DRIVE, SUITE GMeridian, ID 83642
Mailing Address1550 N Crestmont Dr Ste GMeridian, ID 83642-2177 · (208) 629-2023 · Fax (208) 759-5840
Phone(208) 629-2023
Fax(208) 759-5840
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 25, 2017
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1659806941 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 · 68579
1550 N CRESTMONT DRIVE, Meridian, ID 83642
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Select Health.Insurance ›

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

Mrs. Kimberley Helen Odom Fnp 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 ID8022407030
PECOS Enrollment IDI20211112001784
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.

Areas of Expertise CMS Part B claims

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

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.

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 Kimberley Odom's NPI number?

The NPI number for Kimberley Odom is 1659806941. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Kimberley Odom located?

Kimberley Odom practices at 1550 N Crestmont Drive Suite G, Meridian, ID 83642. The listed phone number is (208) 629-2023.

What is Kimberley Odom's specialty?

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

Is Kimberley Odom enrolled in Medicare?

Yes. Kimberley Odom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberley Odom accept?

Health plans from Providence Health Plan and Select Health list Kimberley Odom 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 Kimberley Odom was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.