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KIMBERLY MCDERMOTT FNP-BC
NPI 1740680131
Nurse Practitioner - Family in Coeur D Alene, ID

Active since September 04, 2014Opted out of Medicare · through Jun 7, 2027
913 W CANFIELD AVE, COEUR D ALENE, ID 83815(208) 819-7103(208) 719-0050 Get Directions Write a Review

NPPES record last updated: September 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Mcdermott Fnp-bc NPPES

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

KIMBERLY MCDERMOTT FNP-BC (NPI 1740680131) is an individual family provider in Coeur D Alene, Idaho, licensed in Idaho (69417) and active in the NPI registry since September 2014. She has opted out of Medicare through June 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740680131
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY MCDERMOTTCredential: FNP-BC
Location Address913 W CANFIELD AVECoeur D Alene, ID 83815-9764
Mailing Address913 W Canfield AveCoeur D Alene, ID 83815-9764 · (208) 819-7103 · Fax (208) 719-0050
Phone(208) 819-7103
Fax(208) 719-0050
Sole ProprietorYes
Enumeration DateSeptember 4, 2014
Last NPPES UpdateSeptember 6, 2021
NPPES CertifiedSeptember 6, 2021
✔ NPI 1740680131 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 · 69417
913 W CANFIELD AVE, Coeur D Alene, ID 83815
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimberly Mcdermott Fnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 7, 2023 through June 7, 2027.

Opt-Out Effective DateJune 7, 2023
Opt-Out In Effect ThroughJune 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83815 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 9

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

MS. JANA M QUALLS FNP
Nurse Practitioner (Family)
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 957-7808
HEATHER LOUISE KING NP-C
Nurse Practitioner (Family)
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 763-8920
MIND AND BODY RESTORED
Pain Medicine (Pain Medicine)
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 957-7808
DESIREE HART NP-BC
Nurse Practitioner
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 957-7808
REVITALIZE HEALTH
Nurse Practitioner (Family)
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 763-8920
RATHDRUM CLINIC, INC.
Family Medicine (Addiction Medicine)
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 819-7103
MRS. LESLEY SUSANNE ROBERTS PA-C
Physician Assistant (Medical)
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 819-7103
DR. MICHAEL DAVID WHITING M.D.
Family Medicine
913 W CANFIELD AVE
COEUR D ALENE, ID 83815
Kootenai County (208) 819-7103

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 Mcdermott's NPI number?

The NPI number for Kimberly Mcdermott is 1740680131. It was assigned to this individual provider in the NPPES registry on September 4, 2014.

Where is Kimberly Mcdermott located?

Kimberly Mcdermott practices at 913 W Canfield Ave, Coeur D Alene, ID 83815. The listed phone number is (208) 819-7103.

What is Kimberly Mcdermott's specialty?

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

Is Kimberly Mcdermott enrolled in Medicare?

No. Kimberly Mcdermott has opted out of Medicare through June 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kimberly Mcdermott was last updated on September 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.