KIMBERLY WATSON NP
NPI 1760025639
Nurse Practitioner - Family in Meridian, ID

Q: What is Kimberly Watson's NPI number?

The NPI number for Kimberly Watson is 1760025639. It was assigned to this individual provider in the NPPES registry on October 23, 2019.

Q: What is Kimberly Watson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Watson was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 23, 2019PECOS EnrolledAccepts Medicare Assignment

1130 E FAIRVIEW AVE, MERIDIAN, ID 83642(208) 895-6729(208) 855-5921 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2021, Oct 23, 2019 (2 updates tracked since 2019).

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About Kimberly Watson Np NPPES

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

KIMBERLY WATSON NP (NPI 1760025639) is an individual family provider in Meridian, Idaho, licensed in Idaho (NP62991) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760025639

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY WATSONCredential: NP

Location Address1130 E FAIRVIEW AVEMeridian, ID 83642-1813

Mailing AddressPo Box 314Meridian, ID 83680-0314 · (208) 895-6729 · Fax (208) 855-5921

Phone(208) 895-6729

Fax(208) 855-5921

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 23, 2019

Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration

NPPES CertifiedMarch 17, 2021

✔ NPI 1760025639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · NP62991

Also ListedNurse PractitionerTaxonomy 363L00000X · License CNP62991 (ID)

1130 E FAIRVIEW AVE, Meridian, ID 83642

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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 and accepts Medicare assignment

Kimberly Watson Np 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 ID3779918107

PECOS Enrollment IDI20200319000965

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.

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 83642 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 8

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

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