KIMBERLY N BRISTOW LMHP
NPI 1720135395
Counselor - Mental Health in Nampa, ID
About Kimberly N Bristow Lmhp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY N BRISTOW LMHP (NPI 1720135395) is an individual mental health provider in Nampa, Idaho, licensed in Nebraska (3919) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 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)
Kimberly N Bristow Lmhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Bristow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Idaho enrollment
- 138 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.
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 Kimberly Bristow's NPI number?
The NPI number for Kimberly Bristow is 1720135395. It was assigned to this individual provider in the NPPES registry on January 4, 2007. The provider is also known as Kimberly N Buck Lcpc.
Where is Kimberly Bristow located?
Kimberly Bristow practices at 5120 E Burnte Peak St, Nampa, ID 83687. The listed phone number is (208) 317-3092.
What is Kimberly Bristow's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimberly Bristow enrolled in Medicare?
Yes. Kimberly Bristow is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Bristow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Bristow reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Kimberly Bristow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Bristow accept?
Health plans from Select Health list Kimberly Bristow 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 Kimberly Bristow was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Kimberly N Bristow, LMHP · NPI 1720135395
Mental Health provider in Nampa, Idaho. Individual provider, active in the CMS NPPES registry since January 4, 2007.
## Identity
- **NPI:** 1720135395 (Entity type: Individual)
- **Enumerated:** January 4, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 3919 (Nebraska)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5120 E BURNTE PEAK ST, Nampa, ID 83687-7108
- **Phone:** (208) 317-3092
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** June 9, 2026
- **Other identifiers:** Medicaid 807126900 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1720135395) · Data from the CMS NPPES public registry.