NORA L KIRKPATRICK PA
NPI 1801862784
Physician Assistant - Medical in Chubbuck, ID

Q: What is Nora Kirkpatrick's NPI number?

The NPI number for Nora Kirkpatrick is 1801862784. It was assigned to this individual provider in the NPPES registry on February 28, 2006. The provider is also known as Nora L Wagner.

Q: What is Nora Kirkpatrick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nora Kirkpatrick was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 28, 2006PECOS Enrolled

4511 ZEBE AVE, CHUBBUCK, ID 83202(208) 904-4780(208) 904-4832 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 8, 2022, Jul 8, 2019 (2 updates tracked since 2019).

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About Nora L Kirkpatrick Pa NPPES

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

NORA L KIRKPATRICK PA (NPI 1801862784) is an individual medical provider in Chubbuck, Idaho, licensed in Idaho (PA-1754) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tulsa.

NPPES Registry Identity

NPI1801862784

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNORA L KIRKPATRICKCredential: PA

Location Address4511 ZEBE AVEChubbuck, ID 83202-4707

Mailing Address4511 Zebe AveChubbuck, ID 83202-4707 · (208) 904-4780 · Fax (208) 904-4832

Phone(208) 904-4780

Fax(208) 904-4832

Sole ProprietorNo

Enumeration DateFebruary 28, 2006

Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration

NPPES CertifiedDecember 8, 2022

✔ NPI 1801862784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · PA-1754

Also ListedPhysician AssistantTaxonomy 363A00000X · License 05-29277 (KS), 1852 (OK), 0110004220 (VA)

4511 ZEBE AVE, Chubbuck, ID 83202

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Other Names 1

Former Name (1)Nora L Wagner

Secondary Practice Location 1

Location 16161 S Yale AveTulsa, OK 74136-1902 · Phone (918) 502-1900

Other Identifiers 1

Medicaid200271010AKS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nora L Kirkpatrick Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers14 claims14 services$21.10 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

5 suppliers22 claims22 services$107.58 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers12 claims2,040 services$0.18 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers13 claims13 services$22.49 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers13 claims13 services$12.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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