Kelsey Despain, FNP-BC - Medicare Nurse Practitioner in Idaho Falls, ID

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Kelsey Despain, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Idaho Falls, Idaho. Her current practice location is 3360 Washington Pkwy Ste 2, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 932-7024.

Kelsey Despain is licensed to practice in Idaho (license number 72917) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700594967.

Contact Information

Kelsey Despain, FNP-BC
3360 Washington Pkwy Ste 2,
Idaho Falls, ID 83404-8333
(208) 932-7024
Not Available

Map and Direction




Provider's Profile

Full NameKelsey Despain
GenderFemale
SpecialityNurse Practitioner - Family
Location3360 Washington Pkwy Ste 2, Idaho Falls, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700594967
  • Provider Enumeration Date: 11/07/2022
  • Last Update Date: 02/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5193198059
  • Enrollment ID: I20230224001007

Medical Identifiers

Medical identifiers for Kelsey Despain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700594967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 72917 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelsey Despain allows following entities to bill medicare on her behalf.
Entity NameMountain View Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669462362
PECOS PAC ID: 4486562774
Enrollment ID: O20040527001343
Entity NameCommunity Care West Side Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295009785
PECOS PAC ID: 3678738218
Enrollment ID: O20120703000554
Entity NameCc Pocatello Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538517156
PECOS PAC ID: 8527353176
Enrollment ID: O20160822003018
Entity NameMolina Care Connections Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20180517000247
Entity NameTaylor G Wright Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235526682
PECOS PAC ID: 8426362450
Enrollment ID: O20201222001384

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Despain is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelsey Despain, FNP-BC
6405 S 3000 E Ste 201,
Salt Lake City, UT 84121-6990

Ph: (801) 266-3113		Kelsey Despain, FNP-BC
3360 Washington Pkwy Ste 2,
Idaho Falls, ID 83404-8333

Ph: (208) 932-7024

Reviews and Comments


Nurse Practitioner Nurses in Idaho Falls, ID

Mr. Morgan Tius Garriott, MSN, APRN, CNP, FNP
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Practice Location: 2325 Coronado St, Idaho Falls, ID 83404
Phone: 208-542-7021    Fax: 208-542-7371
Mrs. Molly Susan Phillipp, C.R.N.P.
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Practice Location: 2065 E 17th St, Suite D, Idaho Falls, ID 83404
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Sandy Palma,
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James D Brown, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 3360 Washington Pkwy Ste 2, Idaho Falls, ID 83404
Phone: 208-932-7024    Fax: 208-904-4447
Salina Thetford,
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Practice Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404
Phone: 208-419-3271    
Christopher Leif Edwards,
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Practice Location: 2330 Coronado St, Idaho Falls, ID 83404
Phone: 208-542-7060    
Mr. Nathan Eric Bradfield, PMHNP
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Medicare: Medicare Enrolled
Practice Location: 2280 E 25th St, Idaho Falls, ID 83404
Phone: 208-227-2100    Fax: 208-227-2362

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.