Kimereng Kipchumba Kipsuge, NP - Medicare Nurse Practitioner in Boise, ID

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Kimereng Kipchumba Kipsuge, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Boise, Idaho. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice St Clair Specialty Physicians Pc and his current practice location is 1883 Wildwood St Ste C, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 901-7006.

Kimereng Kipchumba Kipsuge is licensed to practice in Idaho (license number 62135) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205489978.

Contact Information

Kimereng Kipchumba Kipsuge, NP
1883 Wildwood St Ste C,
Boise, ID 83713-5146
(208) 901-7006
Not Available

Map and Direction




Provider's Profile

Full NameKimereng Kipchumba Kipsuge
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location1883 Wildwood St Ste C, Boise, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimereng Kipchumba Kipsuge graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1205489978
  • Provider Enumeration Date: 07/22/2019
  • Last Update Date: 06/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092142109
  • Enrollment ID: I20200303000868

Medical Identifiers

Medical identifiers for Kimereng Kipchumba Kipsuge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205489978NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 62135 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Alphonsus Regional Medical CenterBoise, IDHospital
St Luke's Regional Medical CenterBoise, IDHospital
Saint Alphonsus Medical Center - NampaNampa, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Clair Specialty Physicians Pc620473325634

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. Kimereng Kipchumba Kipsuge allows following entities to bill medicare on his behalf.
Entity NameSt Clair Specialty Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154361616
PECOS PAC ID: 6204733256
Enrollment ID: O20110324000363
Entity NameIdaho Np Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790370765
PECOS PAC ID: 4082023593
Enrollment ID: O20210513002666

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. Kimereng Kipchumba Kipsuge 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
Kimereng Kipchumba Kipsuge, NP
1883 Wildwood St Ste C,
Boise, ID 83713-5146

Ph: (208) 901-7006		Kimereng Kipchumba Kipsuge, NP
1883 Wildwood St Ste C,
Boise, ID 83713-5146

Ph: (208) 901-7006

Reviews and Comments


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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.