Kyle Randall Peterman, FNP - Medicare Nurse Practitioner in Boise, ID

  1. Home
  2. Nurse Practitioner
  3. ID
  4. Boise
Kyle Randall Peterman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Boise, Idaho. His current practice location is 500 W Fort St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 422-1000.

Kyle Randall Peterman is licensed to practice in Idaho (license number 57854) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639879596.

Contact Information

Kyle Randall Peterman, FNP
500 W Fort St,
Boise, ID 83702-4501
(208) 422-1000
Not Available

Map and Direction




Provider's Profile

Full NameKyle Randall Peterman
GenderMale
SpecialityNurse Practitioner - Family
Location500 W Fort St, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639879596
  • Provider Enumeration Date: 03/08/2023
  • Last Update Date: 07/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6103289590
  • Enrollment ID: I20230901000935

Medical Identifiers

Medical identifiers for Kyle Randall Peterman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639879596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 57854 (Idaho)Primary

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. Kyle Randall Peterman 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
Kyle Randall Peterman, FNP
500 W Fort St,
Boise, ID 83702-4599

Ph: (208) 422-1000		Kyle Randall Peterman, FNP
500 W Fort St,
Boise, ID 83702-4501

Ph: (208) 422-1000

Reviews and Comments


Nurse Practitioner Nurses in Boise, ID

Nora M Suarez, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2222    
Dr. Nancy Jane L'heureux, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6259 W Emerald St, Boise, ID 83704
Phone: 208-489-1900    Fax: 208-375-5286
Jennifer Woodburn,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-5015    
Carl Ciplinski, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709
Phone: 208-302-5950    
Kathryn Laura Cnossen, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8000 S Federal Way, Boise, ID 83716
Phone: 208-368-2109    
Mrs. Chelsea Rose Wallace, RN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9976 W Emerald St, Boise, ID 83704
Phone: 208-229-3742    
Natasha Michele King-anderson, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 707 N Armstrong Pl, Boise, ID 83704
Phone: 208-375-5211    

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.