KAITLIN COOLEY FNP-C
NPI 1962160192
Nurse Practitioner in Meridian, ID

Q: What is Kaitlin Cooley's NPI number?

The NPI number for Kaitlin Cooley is 1962160192. It was assigned to this individual provider in the NPPES registry on December 5, 2021.

Q: What is Kaitlin Cooley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: Is Kaitlin Cooley enrolled in Medicare?

No. Kaitlin Cooley has opted out of Medicare through August 1, 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.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Cooley was last updated on August 17, 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 December 05, 2021Opted out of Medicare · through Aug 1, 2027

4740 N PENNGROVE WAY STE 100, MERIDIAN, ID 83646(208) 938-3663(208) 938-3664 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2022, Jul 19, 2022, Dec 5, 2021 (3 updates tracked since 2021).

On this page

About Kaitlin Cooley Fnp-c NPPES

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

KAITLIN COOLEY FNP-C (NPI 1962160192) is an individual nurse practitioner in Meridian, Idaho, licensed in Idaho (58738) and active in the NPI registry since December 2021. She has opted out of Medicare through August 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962160192

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKAITLIN COOLEYCredential: FNP-C

Location Address4740 N PENNGROVE WAY STE 100Meridian, ID 83646-7446

Mailing Address4740 N Penngrove Way Ste 100Meridian, ID 83646-7446 · (208) 938-3663 · Fax (208) 938-3664

Phone(208) 938-3663

Fax(208) 938-3664

Sole ProprietorNo

Enumeration DateDecember 5, 2021

Last NPPES UpdateAugust 17, 20223 updates tracked since enumeration

NPPES CertifiedAugust 17, 2022

✔ NPI 1962160192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ID · 58738

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4740 N PENNGROVE WAY STE 100, Meridian, ID 83646

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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

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Opted out of Medicare

Kaitlin Cooley Fnp-c 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 August 1, 2023 through August 1, 2027.

Opt-Out Effective DateAugust 1, 2023

Opt-Out In Effect ThroughAugust 1, 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 83646 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 5

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

DR. JASON SCOTT LUDWIG D.O.

Family Medicine