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KELSEY DESPAIN FNP-BC
NPI 1700594967
Nurse Practitioner - Family in Idaho Falls, ID

Active since November 07, 2022PECOS Enrolled
3360 WASHINGTON PKWY STE 2, IDAHO FALLS, ID 83404(208) 932-7024 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2024, Nov 7, 2022 (2 updates tracked since 2022).

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

NPI1700594967
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELSEY DESPAINCredential: FNP-BC
Location Address3360 WASHINGTON PKWY STE 2Idaho Falls, ID 83404-8333
Mailing Address6405 S 3000 E Ste 201Salt Lake City, UT 84121-6990 · (801) 266-3113
Phone(208) 932-7024
Sole ProprietorNo
Enumeration DateNovember 7, 2022
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1700594967 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 · 72917
3360 WASHINGTON PKWY STE 2, Idaho Falls, ID 83404
Open in Google Maps ↗

Secondary Practice Location 1

Location 12300 N Yellowstone HwyIdaho Falls, ID 83401-1662 · Phone (208) 709-4389

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Despain Fnp-bc 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 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.

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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES D BROWN FNP-C
Nurse Practitioner (Family)
3360 WASHINGTON PKWY STE 2
IDAHO FALLS, ID 83404
Bonneville County (208) 932-7024
DAVID DOUGLAS KUNZ
Nurse Practitioner
3360 WASHINGTON PKWY STE 2
IDAHO FALLS, ID 83404
Bonneville County (208) 932-7024
TAYLOR G WRIGHT PC
Podiatrist
3360 WASHINGTON PKWY STE 2
IDAHO FALLS, ID 83404
Bonneville County (208) 932-7024

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.

What insurance does Kelsey Despain accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan 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.