1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Nurse Practitioner
  6. NPI Profile

SAMANTHA DE BRUYN KOPS APRN, FNP-C
NPI 1730744947
Nurse Practitioner - Family in Idaho Falls, ID

Active since May 02, 2019PECOS EnrolledAccepts Medicare Assignment
2065 E 17TH ST STE C, IDAHO FALLS, ID 83404(208) 522-6106 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2024, Sep 4, 2023, May 2, 2019 (3 updates tracked since 2019).

About Samantha De Bruyn Kops Aprn, Fnp-c NPPES

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

SAMANTHA DE BRUYN KOPS APRN, FNP-C (NPI 1730744947) is an individual family provider in Idaho Falls, Idaho, licensed in Idaho (61296) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Lost Rivers Medical Center, and maintains a secondary practice location in Idaho Falls.

NPPES Registry Identity

NPI1730744947
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA DE BRUYN KOPSCredential: APRN, FNP-C
Location Address2065 E 17TH ST STE CIdaho Falls, ID 83404-8042
Mailing Address6405 S 3000 E Ste 201Salt Lake City, UT 84121-6990 · (801) 266-3113
Phone(208) 522-6106
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 2, 2019
Last NPPES UpdateFebruary 5, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1730744947 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 · 61296
2065 E 17TH ST STE C, Idaho Falls, ID 83404
Open in Google Maps ↗

Secondary Practice Location 1

Location 13360 Washington Pkwy Ste 2Idaho Falls, ID 83404-8333 · Phone (208) 932-7024

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Samantha De Bruyn Kops Aprn, Fnp-c 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 ID1456685122
PECOS Enrollment IDI20190628002896
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.

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.
80 services22 patients

Hospital Affiliations CMS Care Compare

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

Lost Rivers Medical Center

Critical Access Hospitals · Arco, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131324
Location551 Highland DriveArco, ID 83213 · Butte County
Emergency services

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$28.77 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$18.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$92.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Samantha De Bruyn Kops's NPI number?

The NPI number for Samantha De Bruyn Kops is 1730744947. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Samantha De Bruyn Kops located?

Samantha De Bruyn Kops practices at 2065 E 17th St Ste C, Idaho Falls, ID 83404. The listed phone number is (208) 522-6106.

What is Samantha De Bruyn Kops's specialty?

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

Is Samantha De Bruyn Kops enrolled in Medicare?

Yes. Samantha De Bruyn Kops 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 Samantha De Bruyn Kops accept?

Health plans from Providence Health Plan list Samantha De Bruyn Kops 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 Samantha De Bruyn Kops affiliated with any hospitals?

According to CMS data, Samantha De Bruyn Kops is affiliated with Lost Rivers Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha De Bruyn Kops 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.