KELSEY DESPAIN FNP-BC
NPI 1700594967
Nurse Practitioner - Family in Idaho Falls, ID
About Kelsey Despain Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY DESPAIN FNP-BC (NPI 1700594967) is an individual family provider in Idaho Falls, Idaho, licensed in Idaho (72917) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Idaho Falls.
NPPES Registry Identity
Specialties & Licenses
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)
Kelsey Despain Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Kelsey Despain reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Idaho Falls, ID 83404
- Reassigned Medicare billing, Idaho enrollment
- 298 clinicians in this Medicare group
Idaho Falls, ID 83402
- Reassigned Medicare billing, Idaho enrollment
- 38 clinicians in this Medicare group
Pocatello, ID 83201
- Reassigned Medicare billing, Idaho enrollment
- 31 clinicians in this Medicare group
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 339 clinicians in this Medicare group
Diamond Bar, CA 91765
- Reassigned Medicare billing, California enrollment
- 283 clinicians in this Medicare group
Long Beach, CA 90802
- Reassigned Medicare billing, Idaho enrollment
- 71 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.
Other Providers at the Same Location NPPES 3
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 Kelsey Despain's NPI number?
The NPI number for Kelsey Despain is 1700594967. It was assigned to this individual provider in the NPPES registry on November 7, 2022.
Where is Kelsey Despain located?
Kelsey Despain practices at 3360 Washington Pkwy Ste 2, Idaho Falls, ID 83404. The listed phone number is (208) 932-7024.
What is Kelsey Despain's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelsey Despain enrolled in Medicare?
Yes. Kelsey Despain is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelsey Despain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Despain reassigns Medicare benefits to 6 organizations: Mountain View Hospital LLC (Idaho Falls, ID), Community Care West Side LLC (Idaho Falls, ID), Cc Pocatello LLC (Pocatello, ID), Molina Healthcare Of California (Lancaster, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA) and 1 more organization, listed in the Medicare section above. Each 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 Kelsey Despain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Despain accept?
Health plans from Moda Health Plan, Inc. and Select Health list Kelsey Despain 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 Kelsey Despain was last updated on February 5, 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.
# Kelsey Despain, FNP-BC · NPI 1700594967
Family physician in Idaho Falls, Idaho. Individual provider, active in the CMS NPPES registry since November 7, 2022.
## Identity
- **NPI:** 1700594967 (Entity type: Individual)
- **Enumerated:** November 7, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 72917 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 3360 WASHINGTON PKWY STE 2, Idaho Falls, ID 83404-8333
- **Phone:** (208) 932-7024
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Mountain View Hospital LLC (NPI 1669462362, Idaho Falls, ID); Community Care West Side LLC (NPI 1295009785, Idaho Falls, ID); Cc Pocatello LLC (NPI 1538517156, Pocatello, ID); Molina Healthcare Of California (NPI 1508970955, Lancaster, CA); Central Health Plan Of California, Inc. (NPI 1386714772, Diamond Bar, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1700594967) · Data from the CMS NPPES public registry.