KEVIN O'DONNELL FNP
NPI 1720840507
Nurse Practitioner - Family in Boise, ID

Active since January 26, 2024PECOS EnrolledAccepts Medicare Assignment
2619 W FAIRVIEW AVE STE 2100, BOISE, ID 83702(208) 706-2663(208) 489-4300 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin O'donnell Fnp NPPES

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

KEVIN O'DONNELL FNP (NPI 1720840507) is an individual family provider in Boise, Idaho, licensed in Idaho (59222) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1720840507
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEVIN O'DONNELLCredential: FNP
Location Address2619 W FAIRVIEW AVE STE 2100Boise, ID 83702-6722
Mailing Address190 E Bannock StBoise, ID 83712-6241
Fax(208) 489-4300
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 26, 2024
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
NPI 1720840507 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 · 59222
2619 W FAIRVIEW AVE STE 2100, Boise, ID 83702

Secondary Practice Location 1

Location 1190 E Bannock StBoise, ID 83712-6241 · Phone (802) 381-2222

Accepted 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

Kevin O'donnell 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 ID6204272750
PECOS Enrollment IDI20240307000706
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 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services42 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
21 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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

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

Physician Assistant
2619 W FAIRVIEW AVE STE 2100
BOISE, ID 83702

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 Kevin O'donnell's NPI number?

The NPI number for Kevin O'donnell is 1720840507. It was assigned to this individual provider in the NPPES registry on January 26, 2024.

Where is Kevin O'donnell located?

Kevin O'donnell practices at 2619 W Fairview Ave Ste 2100, Boise, ID 83702. The listed phone number is (208) 706-2663.

What is Kevin O'donnell's specialty?

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

Is Kevin O'donnell enrolled in Medicare?

Yes. Kevin O'donnell 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 Kevin O'donnell accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kevin O'donnell 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.

Is Kevin O'donnell affiliated with any hospitals?

According to CMS data, Kevin O'donnell is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin O'donnell was last updated on February 22, 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.